Individual
EDWARD RATHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1228 GOODMAN RD E, SUITE 2, SOUTHAVEN, MS 38671-9540
(662) 349-0089
(662) 349-4449
Mailing address
1228 GOODMAN RD E, SUITE 2, SOUTHAVEN, MS 38671-9540
(662) 349-0089
(662) 349-4449
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2506-89
MS
Other
Enumeration date
03/07/2007
Last updated
07/08/2007
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