Individual
DR. CHARLES DAVID RATCLIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.S.D.
Contact information
Practice address
201 E LAYFAIR DR STE 120, FLOWOOD, MS 39232-7604
(601) 664-1855
(601) 664-1856
Mailing address
201 E LAYFAIR DR STE 120, FLOWOOD, MS 39232-7604
(601) 664-1855
(601) 664-1856
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3603-11
MS
1223E0200X
Endodontics
Primary
ENDO-491-14
MS
Other
Enumeration date
07/07/2011
Last updated
12/02/2014
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