Fourth Street Dental, Pllc
NPI #1710303599 in Jackson, Michigan
Provider Information
- NPI Number
- 1710303599
- Entity Type
- Organization
- Organization Name
- Fourth Street Dental, Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Mar 17, 2014
- Last Updated
- Mar 17, 2014
Practice Location
Authorized Official
- Name
- NATHAN SHANE POUND, D.D.S.
- Title
- MEMBER
- Phone
- (517) 787-9630
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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