Individual
ALYSSA BRAILSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
115 WOODGREEN XING, MADISON, MS 39110-4522
(601) 664-1855
Mailing address
14 MARK SMITH DR, MANDEVILLE, LA 70471-5300
(985) 788-8621
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
4155
AR
122300000X
Dentist
6665
LA
1223E0200X
Endodontics
Primary
4241
MS
Other
Enumeration date
04/04/2016
Last updated
02/17/2022
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