Tullos Family Dentistry, PA

NPI #1467519827 in Raleigh, Mississippi

Provider Information

NPI Number: 1467519827
Entity Type: Organization
Organization Name: Tullos Family Dentistry, PA
Primary Specialty: Dentist
Enumeration Date: Jan 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 276 MAGNOLIA DR
City: Raleigh
State: Mississippi
ZIP Code: 39153-6016
Phone: (601) 782-9909

Authorized Official

Name: DR. STEPHANIE SULLIVAN TULLOS, D.M.D.
Title: DENTIST
Phone: (601) 782-9909

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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