Organization
NORTHEAST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. C. DAVID WEST D.D.S. (CO-OWNER)
(601) 956-4007
Entity
Organization
Contact information
Practice address
865 PEAR ORCHARD ROAD, RIDGELAND, MS 39157
(601) 956-4007
(601) 956-2901
Mailing address
865 PEAR ORCHARD ROAD, RIDGELAND, MS 39157
(601) 956-4007
(601) 956-2901
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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