Organization
DENTAL GROUP OF MAGEE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRY LAKE GARNER DMD (MEMBER)
(601) 271-8710
Entity
Organization
Contact information
Practice address
1667 HIGHWAY 49S STE 6, MAGEE, MS 39111
(601) 271-8710
Mailing address
4358 LINCOLN ROAD EXT STE 10, HATTIESBURG, MS 39402-3275
(601) 271-8710
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
294096
MS
Other
Enumeration date
04/07/2015
Last updated
04/07/2015
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