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Organization
LAMAR DENTAL PLLC
Active
Organization
LAMAR DENTAL PLLC
Active
Other names
Lamar Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEAH WAITS D.M.D (DENTIST/ OWNER)
(601) 543-3745
Entity
Organization
Contact information
Practice address
6414 U S HIGHWAY 98, STE 10, HATTIESBURG, MS 39402-7838
(601) 543-3745
Mailing address
6414 U S HIGHWAY 98, STE 10, HATTIESBURG, MS 39402-7838
(601) 543-3745
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1942721477
NPI
MS
Enumeration date
10/14/2022
Last updated
10/14/2022
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