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Organization

LD-OXFORD, LLC

Active
Other names
Life Dental Oxford
Organization subpart
No

Provider details

NPI number
Authorized official
LAUREN S DAIGNEAULT BA, MA (ADMINISTRATIVE DIRECTOR)
(256) 783-9468
Entity
Organization

Contact information

Practice address
2608 S LAMAR BLVD, OXFORD, MS 38655-5243
(662) 281-8455
(815) 461-8253
Mailing address
2608 S LAMAR BLVD, OXFORD, MS 38655-5243
(662) 281-8455
(815) 461-8253

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/11/2019
Last updated
07/07/2023
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