Individual
ERIC HOWARD LADIMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
606 FISHER ST, KEESLER AFB, GULFPORT, MS 39534
(228) 377-4510
Mailing address
2255 SWITZER RD, APY A103, GULFPORT, MS 39507
(317) 919-5376
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6660
NE
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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