The Pediatric Dental Studio, LLC
NPI #1699197574 in Pearl, Mississippi
Provider Information
- NPI Number
- 1699197574
- Entity Type
- Organization
- Organization Name
- The Pediatric Dental Studio, LLC
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Jan 13, 2014
- Last Updated
- Jan 13, 2014
Practice Location
- Address
- 110 METROPLEX BLVD
- City
- Pearl
- State
- Mississippi
- ZIP Code
- 39208-9210
- Phone
- (601) 941-6237
Authorized Official
- Name
- DR. JERRICK W ROSE, D.M.D.
- Title
- OWNER
- Phone
- (601) 941-6237
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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