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ISMILE FAMILY DENTISTRY 1295402519

Overview
Name: ISMILE FAMILY DENTISTRY Specialty: Dental Clinic/Center Type of Practice: Organization Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Ambulatory Health Care Facilities Classification: Clinic/Center Specialization: Dental. Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , , License State(s): , , , ,
Addresses
Practice Location: ISMILE FAMILY DENTISTRY,1305 CHURCH RD E,SOUTHAVEN,MS,386719711,US Mailing Address: ISMILE FAMILY DENTISTRY,PO BOX 1168,SOUTHAVEN,MS,386710012,US
Contact #
Practice location phone #: 6623491141 Practice location fax #: 6623496227 Mailing address Phone #: 6623491141 Mailing Address fax #: 6623496227 Authorized official Name/Telephone #:DR., LASHUNDA, THOMPSON, ROBERTS, DMD, PRESIDENT 6016221073
Misc
Date NPI was obtained: 08/25/2021 Last data data was updated: 08/25/2021 Insurances:

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