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Organization
LEXINGTON DENTAL, PLLC
Active
Organization
LEXINGTON DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANTHEA MANGUM (COO)
(601) 271-8710
Entity
Organization
Contact information
Practice address
302 COURT SQ, LEXINGTON, MS 39095-3630
(662) 834-9899
Mailing address
4358 LINCOLN ROAD EXT STE 20, HATTIESBURG, MS 39402-3275
(601) 271-8710
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/24/2020
Last updated
06/24/2020
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