MADISON PEDIATRIC DENTAL GROUP, PLLC
Organization (NPI-2)
Active
Dentist, Pediatric Dentistry
Provider Information
- NPI Number
1669795241- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7728 OLD CANTON RD SUITE A, MADISON, MS, 391106103
- Phone
- (601) 856-1511
- Fax
- (601) 856-1011
Specialties & Taxonomies
Dentist, Pediatric Dentistry
Primary License: MS