Hernando Dental Group Incorporated
NPI #1871831552 in Hernando, Mississippi
Provider Information
- NPI Number
- 1871831552
- Entity Type
- Organization
- Organization Name
- Hernando Dental Group Incorporated
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 30, 2013
- Last Updated
- Jan 30, 2013
Practice Location
- Address
- 2264 MCINGVALE RD.
- City
- Hernando
- State
- Mississippi
- ZIP Code
- 38632
- Phone
- (662) 429-6736
Authorized Official
- Name
- DR. AMY R WADSWORTH, DDS
- Title
- PARTNER
- Phone
- (662) 429-6736
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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