Individual
JAMES A LAUDERDALE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DD
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
1223G0001X
General Practice Dentistry
Primary
1722 76
MS
Other
Enumeration date
09/16/2008
Last updated
09/16/2008
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