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Individual

DR. DALTON C PLUMLEE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
8935 GOODMAN RD, OLIVE BRANCH, MS 38654-2201
(662) 895-5012
(662) 895-4616
Mailing address
8935 GOODMAN RD, OLIVE BRANCH, MS 38654-2201
(662) 895-5012
(662) 895-4616

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4430-24
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4430-24
DENTAL LICENSE
MS
Enumeration date
02/21/2024
Last updated
02/23/2024
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