Children's Dental Group Pllc
NPI #1477725851 in Clinton, Mississippi
Provider Information
- NPI Number
- 1477725851
- Entity Type
- Organization
- Organization Name
- Children's Dental Group Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Mar 26, 2008
- Last Updated
- Jun 24, 2008
Practice Location
- Address
- 539A HIGHWAY 80 W
- City
- Clinton
- State
- Mississippi
- ZIP Code
- 39056-4193
- Phone
- (601) 924-4900
Authorized Official
- Name
- DR. JOSEPH CHET GATEWOOD, D.M.D.
- Title
- OWNER
- Phone
- (601) 924-4900
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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