GRENADA DENTAL CLINIC PLLC

GRENADA, MS
NPI1851886857
Entity TypeOrganization
Authorized ContactOLIVIA K VAN GORDON
Dentist
662-226-1757
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: MS  3934-17)
Enumeration Date2018-06-22
Last Update Date2018-06-22
Business Address
GRENADA DENTAL CLINIC PLLC
1800 HILL DR STE A
GRENADA, MS 38901-5071
Phone number: 662-226-1757
Mailing Address
GRENADA DENTAL CLINIC PLLC
1800 HILL DR STE A
GRENADA, MS 38901-5071
Phone number: 662-226-1757
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