| De Soto Smiles Family Dentistry | |
|
730 Goodman Road East Suite A Southaven MS 38671-9530 | |
| (662) 349-2351 | |
| (662) 349-2416 |
| Full Name | De Soto Smiles Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 730 Goodman Road East, Southaven, Mississippi |
| Authorized Official Name and Position | John George Kakales (DENTIST) |
| Authorized Official Contact | 6629432351 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| De Soto Smiles Family Dentistry 730 Goodman Road East Suite A Southaven MS 38671-9530 Ph: (662) 349-2351 | De Soto Smiles Family Dentistry 730 Goodman Road East Suite A Southaven MS 38671-9530 Ph: (662) 349-2351 |
| NPI Number | 1518093962 |
|---|---|
| Provider Enumeration Date | 02/27/2007 |
| Last Update Date | 12/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518093962 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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