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Organization

MERIDIAN DENTAL ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT S JUSTUS DDS (OWNER)
(601) 482-5701
Entity
Organization

Contact information

Practice address
1411 22ND AVE., MERIDIAN, MS 39301-2046
(601) 482-5701
(601) 483-8401
Mailing address
1411 22ND AVE., MERIDIAN, MS 39301-2046
(601) 482-5701
(601) 483-8401

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1841
MS

Other

Enumeration date
03/11/2010
Last updated
03/11/2010
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