Crystal Springs Dental Center, LLC
NPI #1023386372 in Crystal Springs, Mississippi
Provider Information
- NPI Number
- 1023386372
- Entity Type
- Organization
- Organization Name
- Crystal Springs Dental Center, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 1, 2011
- Last Updated
- Dec 6, 2011
Practice Location
- Address
- 304 HARMONY RD
- City
- Crystal Springs
- State
- Mississippi
- ZIP Code
- 39059-2809
- Phone
- (901) 282-5706
Authorized Official
- Name
- DR. TERRANCE L WARE, DDS
- Title
- OWNER/OPERATOR
- Phone
- (901) 282-5706
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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