Individual
DR. CAROLYN EUBANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
702 MARTIN LUTHER KING ST, MOUND BAYOU, MS 38762-9314
(662) 741-2151
(662) 741-3492
Mailing address
PO BOX 900, MOUND BAYOU, MS 38762-0900
(662) 741-2151
(662) 741-3492
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1886-80
MS
Other
Enumeration date
10/10/2006
Last updated
07/08/2007
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