Decatur Dental, LLC
NPI #1073985925 in Decatur, Mississippi
Provider Information
- NPI Number
- 1073985925
- Entity Type
- Organization
- Organization Name
- Decatur Dental, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 30, 2015
- Last Updated
- Oct 30, 2015
Practice Location
- Address
- 68 FOURTH AVE
- City
- Decatur
- State
- Mississippi
- ZIP Code
- 39327-9713
- Phone
- (601) 635-2340
Authorized Official
- Name
- JIM H POLLES, DMD PA
- Title
- OWNER
- Phone
- (601) 362-1118
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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