Individual
MR. FREDERIC BERTRAND DUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3016 21ST ST, GULFPORT, MS 39501
(228) 864-3096
Mailing address
PO BOX 1989, 3016 21ST ST, GULFPORT, MS 39502
(228) 324-6312
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
254090
MS
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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