Organization
STANLEY FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADRIANE M STANLEY D.M.D. (OWNER/DENTIST)
(601) 856-4888
Entity
Organization
Contact information
Practice address
733 LAKE HARBOUR DR, SUITE G, RIDGELAND, MS 39157-4367
(601) 856-4888
(601) 856-8077
Mailing address
733 LAKE HARBOUR DR, SUITE G, RIDGELAND, MS 39157-4367
(601) 856-4888
(601) 856-8077
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2010
Last updated
09/15/2010
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