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Individual

DR. CHESTER L. LAYNE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
510 HIGHWAY 322, P O DRAWER 1216, CLARKSDALE, MS 38614-4717
(662) 624-2504
(662) 627-3629
Mailing address
800 OHIO AVE, CLARKSDALE, MS 38614-7200
(662) 624-2504
(662) 627-3629

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3430-07
MS

Other

Enumeration date
05/01/2008
Last updated
10/08/2009
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