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Organization

HILARY GADDIS CRADDOCK, DMD, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM WILLIAMSON (OFFICE MANAGER)
(601) 932-5100
Entity
Organization

Contact information

Practice address
125 W HARPER ST, RICHLAND, MS 39218-4406
(601) 932-5100
Mailing address
125 W HARPER ST, RICHLAND, MS 39218-4406
(601) 932-5100

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
03/05/2009
Last updated
03/05/2009
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