| Pure Smiles Biloxi, Inc. | |
|
1764 Pass Rd Biloxi MS 39531-3339 | |
| (228) 374-5334 | |
| Not Available |
| Full Name | Pure Smiles Biloxi, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1764 Pass Rd, Biloxi, Mississippi |
| Authorized Official Name and Position | Lauren Michelle Bolton-gilich (DENTIST/OWNER) |
| Authorized Official Contact | 2283745334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pure Smiles Biloxi, Inc. 1764 Pass Rd Biloxi MS 39531-3339 Ph: (228) 374-5334 | Pure Smiles Biloxi, Inc. 1764 Pass Rd Biloxi MS 39531-3339 Ph: (228) 374-5334 |
| NPI Number | 1275170987 |
|---|---|
| Provider Enumeration Date | 12/02/2019 |
| Last Update Date | 12/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275170987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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