Organization
LAUREL OAKS DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRED I WALTERS DDS (DENTIST)
(601) 649-3335
Entity
Organization
Contact information
Practice address
1434 PARKER DRIVE, LAUREL, MS 39440
(601) 649-3335
(601) 426-6318
Mailing address
1434 PARKER DRIVE, LAUREL, MS 39440
(601) 649-3335
(601) 426-6318
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
171176
MS
Other
Enumeration date
01/09/2007
Last updated
07/21/2022
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