Organization · Type 2 NPI
Central Mississippi Civic Improvement Association
Dental Clinic/Center · Vicksburg, MS
NPI number
1205868593
Active
Practice location
3312 Oak St
Vicksburg, MS 39180-5042
Fax (601) 638-9044
Mailing address
3502 W Northside Dr
Jackson, MS 39213-4454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
Other dental clinic/center providers in Vicksburg
About NPI 1205868593
Central Mississippi Civic Improvement Association's National Provider Identifier is 1205868593, issued on Jul 7, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vicksburg, MS. The record was last updated on Aug 22, 2020.