Individual
DR. RALPH JOSEPH LANDRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDD
Contact information
Practice address
512 1ST ST, CLARKSDALE, MS 38614-4410
(662) 624-8114
Mailing address
512 1ST ST, CLARKSDALE, MS 38614-4410
(662) 624-8114
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
2181-85
MS
1223G0001X
General Practice Dentistry
Primary
MS2183-85
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060140
—
MS
Enumeration date
09/27/2006
Last updated
09/06/2023
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