Organization
RAELINE K. MCINTYRE, DMD, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAELINE K. MCINTYRE DMD (OWNER)
(228) 539-5410
Entity
Organization
Contact information
Practice address
505 COWAN RD, GULFPORT, MS 39507-2024
(228) 539-5410
(228) 539-0265
Mailing address
505 COWAN RD, GULFPORT, MS 39507-2024
(228) 539-5410
(228) 539-0265
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3205-01
MS
Other
Enumeration date
08/20/2013
Last updated
09/25/2014
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