LEAF RIVER DENTAL, PLLC

PETAL, MS
NPI1750906707
Entity TypeOrganization
Authorized ContactLANTHEA MANGUM
COO
601-271-8710
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-06-15
Last Update Date2020-06-15
Business Address
LEAF RIVER DENTAL, PLLC
1115 EVELYN GANDY PARKWAY
PETAL, MS 39465
Phone number: 601-271-8710
Mailing Address
LEAF RIVER DENTAL, PLLC
4358 LINCOLN ROAD EXT STE 20
HATTIESBURG, MS 39402-3275
Phone number: 601-271-8710
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