Grenada Dental Associates
NPI #1578719399 in Grenada, Mississippi
Provider Information
- NPI Number
- 1578719399
- Entity Type
- Organization
- Organization Name
- Grenada Dental Associates
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Aug 12, 2008
- Last Updated
- Aug 12, 2008
Practice Location
- Address
- 2117 COMMERCE ST
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5400
- Phone
- (662) 226-6014
Authorized Official
- Name
- MS. GINGER PAYNE
- Title
- OFFICE
- Phone
- (662) 226-6014
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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