Fdc Of Laurel Llc | |
1532 W 15th St Laurel MS 39440-2102 | |
(601) 428-0082 | |
Not Available |
Full Name | Fdc Of Laurel Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 1532 W 15th St, Laurel, Mississippi |
Authorized Official Name and Position | Shelley S. Taylor (OWNER/DENTIST) |
Authorized Official Contact | 6014280082 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fdc Of Laurel Llc Po Box 6505 Laurel MS 39441-6505 Ph: (601) 428-0082 | Fdc Of Laurel Llc 1532 W 15th St Laurel MS 39440-2102 Ph: (601) 428-0082 |
NPI Number | 1124599105 |
---|---|
Provider Enumeration Date | 12/17/2018 |
Last Update Date | 12/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124599105 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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