Individual
DR. ANDREW ELIAS ABIDE SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
637 RAYNER RD, GREENVILLE, MS 38701-8135
(662) 378-8606
(662) 378-8690
Mailing address
637 RAYNER RD, GREENVILLE, MS 38701-8135
(662) 378-8606
(662) 378-8690
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1957-82
MS
Other
Enumeration date
02/01/2007
Last updated
07/08/2007
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