| NPI | 1982291415 |
|---|---|
| Doing Business As | MALLORY COMMUNITY HEALTH CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | LATONYA MABRY Business Manager 662-834-0746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2020-12-30 |