Organization · Type 2 NPI
Grenada Dental Clinic PLLC
Dental Clinic/Center · Grenada, MS
NPI number
1851886857
Active
Practice location
1800 Hill Dr Ste A
Grenada, MS 38901-5071
Fax (662) 307-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 3934-17 (MS) |
Dental Clinic/Center: Definition to come...
Other dental clinic/center providers in Grenada
About NPI 1851886857
Grenada Dental Clinic PLLC's National Provider Identifier is 1851886857, issued on Jun 22, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Grenada, MS. The record was last updated on Jun 22, 2018.