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Organization

MADISON DENTAL STUDIO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DIANA LONG PAPPA DDS (DENTIST)
(256) 335-7042
Entity
Organization

Contact information

Practice address
119 COLONY CROSSING WAY STE 780, MADISON, MS 39110-6327
(769) 300-1001
(769) 300-1002
Mailing address
157 REUNION DR, MADISON, MS 39110-7142
(256) 335-7042

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/12/2020
Last updated
09/22/2021
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