Ld-Madison, LLC
NPI #1285415216 in Madison, Mississippi
Provider Information
- NPI Number
- 1285415216
- Entity Type
- Organization
- Organization Name
- Ld-Madison, LLC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Oct 5, 2023
- Last Updated
- Nov 15, 2023
Practice Location
- Address
- 306 FOUNTAINS DR
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110-6384
- Phone
- (601) 605-1410
Authorized Official
- Name
- MRS. LIZZ DAIGNEAULT, BA, MA
- Title
- ADMIN DIRECTOR
- Phone
- (256) 783-9468
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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