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Organization

LAUREL DENTAL PROPERTIES

Active
Parent organization
MIDDLETON & BELKNAP PEDIATRIC DENTISTRY PLLC
Other names
Pediatric Dental Group of Laurel
Organization subpart
Yes

Provider details

NPI number
Legal business name
MIDDLETON & BELKNAP PEDIATRIC DENTISTRY PLLC
Authorized official
DR. ANDREW SCOTT MIDDLETON DMD (PARTNER)
(601) 450-6060
Entity
Organization

Contact information

Practice address
1925 PINE BELT DRIVE, LAUREL, MS 39440
(601) 450-6060
Mailing address
1925 PINE BELT DRIVE, LAUREL, MS 39440
(601) 450-6060

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
3044-98
MS

Other

Enumeration date
12/30/2015
Last updated
12/30/2015
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