Heritage Family Dental
NPI #1699358739 in Quitman, Mississippi
Provider Information
- NPI Number
- 1699358739
- Entity Type
- Organization
- Organization Name
- Heritage Family Dental
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- May 5, 2021
- Last Updated
- May 5, 2021
Practice Location
- Address
- 303 S ARCHUSA AVE # A
- City
- Quitman
- State
- Mississippi
- ZIP Code
- 39355-2325
- Phone
- (601) 776-6630
Authorized Official
- Name
- KELLY MILLER
- Title
- CREDENTIALING SPECIALIST
- Phone
- (601) 271-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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