Organization · Type 2 NPI

Olive Branch Dental Group PLLC

General Practice Dentistry · Olive Branch, MS

NPI number 1174072409 Active

About NPI 1174072409

Olive Branch Dental Group PLLC's National Provider Identifier is 1174072409, issued on Sep 28, 2016. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Olive Branch, MS. The record was last updated on Sep 28, 2016.