Organization
ABIDE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW ELIAS ABIDE JR. D.M.D. (OWNER)
(662) 470-5811
Entity
Organization
Contact information
Practice address
5740 GETWELL RD, BLDG. 3A, SOUTHAVEN, MS 38672-6346
(662) 470-5811
(662) 470-5817
Mailing address
5740 GETWELL RD, BLDG. 3A, SOUTHAVEN, MS 38672-6346
(662) 470-5811
(662) 470-5817
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3573
MS
Other
Enumeration date
11/18/2015
Last updated
11/18/2015
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