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Organization

STANLEY FAMILY DENTAL, PLLC

Active
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Organization

STANLEY FAMILY DENTAL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADRIANE M STANLEY D.M.D. (OWNER/DENTIST)
(601) 856-4888
Entity
Organization

Contact information

Practice address
733 LAKE HARBOUR DR, SUITE G, RIDGELAND, MS 39157-4367
(601) 856-4888
(601) 856-8077
Mailing address
733 LAKE HARBOUR DR, SUITE G, RIDGELAND, MS 39157-4367
(601) 856-4888
(601) 856-8077

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
09/15/2010
Last updated
09/15/2010
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