Grants Ferry Family Dentistry
NPI #1265779052 in Brandon, Mississippi
Provider Information
- NPI Number
- 1265779052
- Entity Type
- Organization
- Organization Name
- Grants Ferry Family Dentistry
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 14, 2013
- Last Updated
- Jan 14, 2013
Practice Location
- Address
- 1075 LAKE VILLAGE CIR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39047-6743
- Phone
- (601) 992-1605
Authorized Official
- Name
- DR. CARLA RUSHING
- Title
- OWNER
- Phone
- (601) 992-1605
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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