Organization
CRADDOCK AND HYDE DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILARY CRADDOCK (OWNER)
(601) 932-5100
Entity
Organization
Contact information
Practice address
125 W HARPER ST, RICHLAND, MS 39218-4406
(601) 932-5100
Mailing address
125 W HARPER ST, RICHLAND, MS 39218-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3326-05
MS
1223G0001X
General Practice Dentistry
3389
MS
Other
Enumeration date
03/23/2012
Last updated
03/23/2012
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