Delta Family Dental, Pllc
NPI #1124644455 in Cleveland, Mississippi
Provider Information
- NPI Number
- 1124644455
- Entity Type
- Organization
- Organization Name
- Delta Family Dental, Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jun 23, 2020
- Last Updated
- Jun 23, 2020
Practice Location
- Address
- 201 W SUNFLOWER RD
- City
- Cleveland
- State
- Mississippi
- ZIP Code
- 38732-2637
- Phone
- (601) 271-8710
Authorized Official
- Name
- LANTHEA MANGUM
- Title
- COO
- Phone
- (601) 271-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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