NPI 1336689199

Mjc Dental, PLLC

Organisation Dentist Clarksdale, MS

Practice location

Address: 705 S Choctaw St, Clarksdale, MS 38614-4810
Phone: (662) 627-7324
Fax: (662) 627-7758

Authorised official

Name: Matthew Joe Chow
Title: Sole Proprietor
Phone: (662) 386-7886

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence 3562-10 (MS)

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Registry record

NPI: 1336689199
Entity type: Organization
NPI issued: 27 Feb 2017
Record last updated: 27 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.