Organization
LEE D. CASEY D.M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEE D CASEY (D.M.D.)
(601) 209-7364
Entity
Organization
Contact information
Practice address
162 S BROAD ST, LIBERTY, MS 39645-8059
(601) 657-5877
Mailing address
PO BOX 695, LIBERTY, MS 39645-0695
(601) 657-5877
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3412-07
MS
Other
Enumeration date
07/15/2008
Last updated
07/15/2008
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