Organization
J A LAUDERDALE III, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES A LAUDERDALE III DDS (PRESIDENT)
(601) 693-4544
Entity
Organization
Contact information
Practice address
2321 16TH ST, MERIDIAN, MS 39301-4031
(601) 693-4544
Mailing address
2321 16TH ST, MERIDIAN, MS 39301-4031
(601) 693-4544
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1722 76
MS
Other
Enumeration date
12/11/2007
Last updated
12/11/2007
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