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Organization

FDC OF LAUREL LLC

Active
Other names
Family Dental Center of Laurel
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SHELLEY S. TAYLOR DMD (OWNER/DENTIST)
(601) 428-0082
Entity
Organization

Contact information

Practice address
1532 W 15TH ST, LAUREL, MS 39440-2102
(601) 428-0082
Mailing address
PO BOX 6505, LAUREL, MS 39441-6505
(601) 428-0082

Taxonomy

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

Other

Enumeration date
12/17/2018
Last updated
12/17/2018
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