Vicksburg Orthodontics LLC

NPI #1619370012 in Vicksburg, Mississippi

Provider Information

NPI Number
1619370012
Entity Type
Organization
Organization Name
Vicksburg Orthodontics LLC
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Enumeration Date
Sep 30, 2014
Last Updated
Sep 30, 2014

Practice Location

Address
1909A MISSION 66
ZIP Code
39180-3711
Phone
(601) 271-8710

Authorized Official

Name
DR. LAKE GARNER
Title
OWNER
Phone
(601) 271-8710

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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