Esthetics Unlimited

NPI 1063635829 - Dentist - 1223G0001X

NPI Details
NPI 1063635829
Enumeration Date 04/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Position DENTIST
Phone (601) 483-6021
Fax (601) 483-1140
Practice Location
2400 16TH ST
MERIDIAN MS, 39301-3955, US
Phone (601) 483-6021
Fax (601) 483-1140
Business Location
4509 9TH AVE
MERIDIAN MS, 39305-2815, US
Phone (601) 483-4946
Taxonomy Code 1223G0001X
License State Mississippi
License Number 136969
Remove 1063635829 NPI Number

According to our database, Esthetics Unlimited NPI is 1063635829, taxonomy code is 1223G0001X and license number is 136969, license state is located at Mississippi. Esthetics Unlimited physically located at 2400 16th St, Meridian MS, 39301-3955. NPI Number 1033115704 has the healthcare provider type.

1063635829 NPI number is provided on an as is basis without warranty of any kind. 1063635829 is maintained by the National Plan & Provider Enumeration System. The contents of Esthetics Unlimited are for informational purposes only.