Organization
LD-BYRAM, LLC
Active
Other names
Southern Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN S DAIGNEAULT BA, MA (ADMIN DIRECTOR)
(256) 783-9468
Entity
Organization
Contact information
Practice address
115 BRIDGETON PLZ, BYRAM, MS 39272-8711
(601) 373-4500
(662) 586-2995
Mailing address
115 BRIDGETON PLZ, BYRAM, MS 39272-8711
(601) 373-4500
(888) 211-7876
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/13/2018
Last updated
07/07/2023
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