| M&t Family Dentistry | |
|
2905 14th St Pascagoula MS 39567-5208 | |
| (228) 769-8521 | |
| (228) 762-2820 |
| Full Name | M&t Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2905 14th St, Pascagoula, Mississippi |
| Authorized Official Name and Position | Rosemary Duc Tran (PART OWNER) |
| Authorized Official Contact | 5043883675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M&t Family Dentistry 2905 14th St Pascagoula MS 39567-5208 Ph: (228) 769-8521 | M&t Family Dentistry 2905 14th St Pascagoula MS 39567-5208 Ph: (228) 769-8521 |
| NPI Number | 1124552799 |
|---|---|
| Provider Enumeration Date | 04/20/2017 |
| Last Update Date | 04/20/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124552799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 3773-14 (Mississippi) | Primary |
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