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Organization
WEST MAIN DENTAL
Active
Organization
WEST MAIN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MADISON ENGLISH SMITH DMD (OWNER)
(601) 559-5529
Entity
Organization
Contact information
Practice address
450 W MAIN ST, RAYMOND, MS 39154-8165
(601) 857-5021
Mailing address
PO BOX 477, RAYMOND, MS 39154-0477
(601) 559-5529
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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