Individual
SARAH ELIZABETH CHILDRESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2574 MARCIA CT STE A, BILOXI, MS 39531-2341
(228) 388-9545
(228) 385-1161
Mailing address
5524 GATES AVE, LONG BEACH, MS 39560-3512
(903) 491-6456
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4604-20DH
MS
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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