LD-MADISON, LLC
Organization (NPI-2)
Active
Clinic/Center, Dental
Provider Information
- NPI Number
1285415216- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 306 FOUNTAINS DR, MADISON, MS, 391106384
- Phone
- (601) 605-1410
- Fax
- (601) 605-1367
Specialties & Taxonomies
Clinic/Center, Dental
Primary