Individual
LETASIA POYADOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
5128 OLD HIGHWAY 11, SUITE 11, HATTIESBURG, MS 39402-6233
(601) 602-8083
Mailing address
5128 OLD HIGHWAY 11, SUITE 11, HATTIESBURG, MS 39402-6233
(601) 602-8083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3749-14
MS
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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