Organization
DOUGLAS ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (INSURANCE PLANNING MANAGER)
(877) 875-7408
Entity
Organization
Contact information
Practice address
1603 23RD AVE, MERIDIAN, MS 39301-3102
(601) 485-4522
(601) 485-9925
Mailing address
1603 23RD AVE, MERIDIAN, MS 39301-3102
(601) 485-4522
(601) 485-9925
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3022-97
MS
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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