The Smile Studio PA
NPI #1861650368 in Madison, Mississippi
Provider Information
- NPI Number
- 1861650368
- Entity Type
- Organization
- Organization Name
- The Smile Studio PA
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 30, 2008
- Last Updated
- May 30, 2008
Practice Location
- Address
- 1029 HIGHWAY 51 STE D
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-7648
- Phone
- (601) 605-2525
Authorized Official
- Name
- WILLIAM O RIVES, DMD
- Title
- OWNER
- Phone
- (601) 605-2525
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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