Individual
NHI Y LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2574 MARCIA CT, BILOXI, MS 39531-2341
(228) 388-9545
Mailing address
3105 BIG RIDGE RD, DIBERVILLE, MS 39540-2655
(228) 424-4204
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4211-21
MS
Other
Enumeration date
06/15/2021
Last updated
06/15/2021
About Stedi
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