Pure Smiles Biloxi, Inc.
NPI #1275170987 in Biloxi, Mississippi
Provider Information
- NPI Number
- 1275170987
- Entity Type
- Organization
- Organization Name
- Pure Smiles Biloxi, Inc.
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Dec 2, 2019
- Last Updated
- Dec 2, 2019
Practice Location
- Address
- 1764 PASS RD
- City
- Biloxi
- State
- Mississippi
- ZIP Code
- 39531-3339
- Phone
- (228) 374-5334
Authorized Official
- Name
- DR. LAUREN MICHELLE BOLTON-GILICH, DMD
- Title
- DENTIST/OWNER
- Phone
- (228) 374-5334
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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