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Individual

DR. JOSEPH CHET GATEWOOD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
539A HIGHWAY 80 W, CLINTON, MS 39056-4193
(601) 924-4900
(601) 924-4944
Mailing address
539A HIGHWAY 80 W, CLINTON, MS 39056-4193
(601) 924-4900
(601) 924-4944

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2696-92
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660116
MS
Enumeration date
09/20/2006
Last updated
07/08/2007
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