Individual
DR. ANDREW ELIAS ABIDE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5740 GETWELL RD, BLD 3, UNIT A, SOUTHAVEN, MS 38672-6346
(662) 470-5811
(662) 470-5817
Mailing address
5740 GETWELL RD, BLD 3, UNIT A, SOUTHAVEN, MS 38672-6346
(662) 470-5811
(662) 470-5817
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
3573-10
MS
1223E0200X
Endodontics
Primary
ENDO-441-11
MS
Other
Enumeration date
07/13/2007
Last updated
12/04/2013
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