GOLDEN TRIANGLE PERIODONTAL CENTER
Organization (NPI-2)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1114055167- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2900 BLUECUTT RD SUITE 3, COLUMBUS, MS, 397051470
- Phone
- (662) 329-2696
Specialties & Taxonomies
Dentist, Periodontics
Primary License: MS #PER154-88