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Individual

WILLIAM E. MIDDLETON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3011 GOODMAN RD W, HORN LAKE, MS 38637-1103
(662) 342-6530
(662) 342-9098
Mailing address
3011 GOODMAN RD W, HORN LAKE, MS 38637-1103
(662) 342-6530
(662) 342-9098

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2592-90
MS

Other

Enumeration date
08/10/2008
Last updated
08/10/2008
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