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Individual

DR. LA SHAWN STEPTOE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
500 E WOODROW WILSON AVE, SUITE N, JACKSON, MS 39216-4538
(601) 713-3777
Mailing address
500 E WOODROW WILSON AVE, SUITE N, JACKSON, MS 39216-4538
(601) 713-3777

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2862
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660102
MS
Enumeration date
02/28/2008
Last updated
02/28/2008
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