Windstone Dental LLC

NPI #1376883199 in Olive Branch, Mississippi

Provider Information

NPI Number: 1376883199
Entity Type: Organization
Organization Name: Windstone Dental LLC
Primary Specialty: Dentist
Enumeration Date: Feb 15, 2013
Last Updated: Feb 15, 2013

Practice Location

Address: 4824 GOODMAN RD
City: Olive Branch
State: Mississippi
ZIP Code: 38654-7950
Phone: (662) 874-5917

Authorized Official

Name: DR. JARAD BRADDY, D.D.S.
Title: MEMBER
Phone: (662) 874-5917

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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