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Ld-madison, Llc
Dental Clinic/Center in Madison, Mississippi
NPI 1285415216

Ld-madison, Llc is a Dental Clinic/Center based in Madison, MS and is specialized in Dental. Ld-madison, Llc practices in Madison, MS. The NPI Number for Ld-madison, Llc is 1285415216 and holds a License No. (Mississippi).

The current practice location address for Ld-madison, Llc is 306 Fountains Dr, Madison, MS and can be reached out via phone at 601-605-1410 and via fax at 601-605-1367.

Location: 306 Fountains Dr, Madison, MS, 39110-6384
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285415216
Provider Name
Ld-madison, Llc
Credential
Provider Entity Type
Organization
Address
306 Fountains Dr, Madison, MS, 39110-6384
Phone Number
601-605-1410
Fax Number
601-605-1367
Provider Enumeration Date
10/05/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
306 Fountains Dr
City
Madison
State
Mississippi
Zip
39110-6384
Phone Number
601-605-1410
Fax Number
601-605-1367
person
Provider Business Mailing Address Details
Address
306 Fountains Dr
City
Madison
State
Mississippi
Zip
39110-6384
Phone Number
601-605-1410
Fax Number
601-605-1367
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
()
Definition
Definition to come...
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