Individual
DR. BRANTLEY BLAKE DUNAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
102 W FREEDOM DR, LIBERTY, MS 39645-7295
(601) 657-4326
(601) 657-8867
Mailing address
PO BOX 511, LIBERTY, MS 39645-0511
(601) 657-4326
(601) 657-8867
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4444-24
MS
Other
Enumeration date
06/10/2024
Last updated
06/10/2024
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