specializing in dentist in Covington, Louisiana

NPI: 1689157588

Provider Type

2

Practice Locations

Mailing Location

100 S TYLER ST STE 4

COVINGTON, LA 70433

📞 9858931044

Practice Location

120 S 28TH AVE

HATTIESBURG, MS 39401

📞 6012681111

Provider Information

Gender:
Sole Proprietor:No
Enumeration Date:9/7/2018
Last Updated:9/7/2018

Credentials

Primary Credential: