Broadwater Dental

NPI #1386186278 in Biloxi, Mississippi

Provider Information

NPI Number
1386186278
Entity Type
Organization
Organization Name
Broadwater Dental
Primary Specialty
Dentist
Enumeration Date
Nov 9, 2016
Last Updated
Nov 9, 2016

Practice Location

Address
2318 PASS RD
Address 2
STE 9
City
Biloxi
ZIP Code
39531-4044
Phone
(228) 388-3353

Authorized Official

Name
DR. CLIFFORD J COOK, D.M.D.
Title
DENTIST
Phone
(228) 388-3353

Specialties & Taxonomy Codes

Specialty
Dentist

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