Organization
SOUTH MISSISSIPPI ENDODONTICS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRANDON CRAIG ANDERSON DMD (DENTIST)
(503) 756-2307
Entity
Organization
Contact information
Practice address
1721 MEDICAL PARK DR, SUITE 201, BILOXI, MS 39532-2109
(228) 267-3511
(601) 510-4448
Mailing address
1721 MEDICAL PARK DR, SUITE 201, BILOXI, MS 39532-2109
(228) 267-3511
(601) 510-4448
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
3122-00
MS
Other
Enumeration date
11/10/2009
Last updated
12/07/2009
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