Pediatric Dentistry of Gluckstadt
NPI #1821960683 in Gluckstadt, Mississippi
Provider Information
- NPI Number
- 1821960683
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry of Gluckstadt
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Sep 22, 2025
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 154 CALHOUN STATION PKWY STE F
- City
- Gluckstadt
- State
- Mississippi
- ZIP Code
- 39110-5544
- Phone
- (769) 567-1807
Authorized Official
- Name
- AVANI KHATRI, DDS
- Title
- OWNER
- Phone
- (769) 567-1807
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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