M&t Family Dentistry | |
2905 14th St Pascagoula MS 39567-5208 | |
(228) 769-8521 | |
(228) 762-2820 |
Full Name | M&t Family Dentistry |
---|---|
Speciality | Clinic/center - Dental |
Location | 2905 14th St, Pascagoula, Mississippi |
Authorized Official Name and Position | Rosemary Duc Tran (PART OWNER) |
Authorized Official Contact | 5043883675 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
M&t Family Dentistry 2905 14th St Pascagoula MS 39567-5208 Ph: (228) 769-8521 | M&t Family Dentistry 2905 14th St Pascagoula MS 39567-5208 Ph: (228) 769-8521 |
NPI Number | 1124552799 |
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Provider Enumeration Date | 04/20/2017 |
Last Update Date | 04/20/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124552799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 3773-14 (Mississippi) | Primary |
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