Chickasaw Family Dental

NPI #1316530736 in Chickasaw, Alabama

Provider Information

NPI Number
1316530736
Entity Type
Organization
Organization Name
Chickasaw Family Dental
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Feb 17, 2021
Last Updated
Oct 14, 2021

Practice Location

Address
457 N CRAFT HWY
State
Alabama
ZIP Code
36611-1364
Phone
(251) 456-8406

Authorized Official

Name
LANTHEA MANGUM
Title
COO
Phone
(601) 271-8710

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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