Organization
LAKE SERENE FAMILY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TRENT WEBB D.M.D. (DENTIST)
(601) 450-2540
Entity
Organization
Contact information
Practice address
6668 U S HIGHWAY 98, STE. G, HATTIESBURG, MS 39402-7981
(601) 450-2540
(601) 450-2606
Mailing address
6668 U S HIGHWAY 98, STE. G, HATTIESBURG, MS 39402-7981
(601) 450-2540
(601) 450-2606
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3424-07
MS
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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