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Organization
EAST MISSISSIPPI ORAL & FACIAL SURGERY, LLC
Active
Organization
EAST MISSISSIPPI ORAL & FACIAL SURGERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASIF LALA DMD, MD (OWNER/ORAL SURGEON)
(601) 485-2494
Entity
Organization
Contact information
Practice address
1903 23RD AVE, MERIDIAN, MS 39301-3108
(601) 485-2494
(601) 485-4837
Mailing address
1903 23RD AVE, MERIDIAN, MS 39301-3108
(601) 485-2494
(601) 485-4837
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3785-15
MS
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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