Individual
ADRIANE MEDENWALD STANLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
101 W WASHINGTON ST STE C3&4, RIDGELAND, MS 39157-2434
(601) 856-4888
(601) 856-8077
Mailing address
101 W WASHINGTON ST STE C3&4, RIDGELAND, MS 39157-2434
(601) 856-4888
(601) 856-8077
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3452-08
MS
Other
Enumeration date
07/18/2007
Last updated
04/20/2018
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