Individual
DR. DUNCAN FAIRLEY MATHESON IV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5404 INDIAN HILL BLVD, DIAMONDHEAD, MS 39525-3334
(228) 255-2543
Mailing address
5404 INDIAN HILL BLVD, DIAMONDHEAD, MS 39525-3334
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
325803
MS
Other
Enumeration date
05/15/2007
Last updated
07/08/2007
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