| Ld-ridgeland, Llc | |
|
722 Lake Harbour Dr Ste 2 Ridgeland MS 39157-4354 | |
| (601) 607-7876 | |
| (601) 607-7878 |
| Full Name | Ld-ridgeland, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 722 Lake Harbour Dr Ste 2, Ridgeland, Mississippi |
| Authorized Official Name and Position | Lauren S Daigneault (ADMIN DIRECTOR) |
| Authorized Official Contact | 2567839468 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ld-ridgeland, Llc 772 Lake Harbour Dr Ste 2 Ridgeland MS 39157-4365 Ph: (601) 607-7876 | Ld-ridgeland, Llc 722 Lake Harbour Dr Ste 2 Ridgeland MS 39157-4354 Ph: (601) 607-7876 |
| NPI Number | 1427762111 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 07/07/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427762111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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