Anderson Dental, Llc

NPI 1013033851 - Dentist - 1223G0001X

NPI Details
NPI 1013033851
Enumeration Date 03/22/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name LEON LEON
Position OWNER
Phone (601) 366-1112
Fax (601) 366-6092
Practice Location
514-D EAST WOODROW WILSON DR.
JACKSON MS, 39216-4538, US
Phone (601) 366-1112
Fax (601) 366-6092
Business Location
P.O. BOX 11277
JACKSON MS, 39283-1277, US
Phone (601) 366-1112
Fax (601) 366-6092
Toxanomy
Taxonomy Code 1223G0001X
License State Mississippi
License Number MS2164-85
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According to our database, Anderson Dental, Llc NPI is 1013033851, taxonomy code is 1223G0001X and license number is MS2164-85, license state is located at Mississippi. Anderson Dental, Llc physically located at 514-d East Woodrow Wilson Dr., Jackson MS, 39216-4538. NPI Number 1033115704 has the healthcare provider type.

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1013033851 NPI number is provided on an as is basis without warranty of any kind. 1013033851 is maintained by the National Plan & Provider Enumeration System. The contents of Anderson Dental, Llc are for informational purposes only.