Avalon Smiles Llc | |
101 Avalon Ct Suite C Brandon MS 39047-7641 | |
(601) 919-2990 | |
(601) 919-2992 |
Full Name | Avalon Smiles Llc |
---|---|
Speciality | Dentist |
Location | 101 Avalon Ct, Brandon, Mississippi |
Authorized Official Name and Position | Richard A Williams (DENTIST) |
Authorized Official Contact | 6019192990 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avalon Smiles Llc 101 Avalon Ct Suite C Brandon MS 39047-7641 Ph: (601) 919-2990 | Avalon Smiles Llc 101 Avalon Ct Suite C Brandon MS 39047-7641 Ph: (601) 919-2990 |
NPI Number | 1720213788 |
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Provider Enumeration Date | 05/20/2009 |
Last Update Date | 04/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720213788 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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