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Organization

STEPHANIE HARDING, DDS OF MISSISSIPPI II, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HALEY WOOSTER (ENROLLMENT SPECIALIST)
(712) 733-8551
Entity
Organization

Contact information

Practice address
688 GOODMAN RD, STE 123, OLIVE BRANCH, MS 38654
(662) 635-8480
Mailing address
688 GOODMAN RD, STE 123, OLIVE BRANCH, MS 38654
(662) 635-8480

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
07/20/2018
Last updated
09/19/2022
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