Individual
DR. LATOYA DENISE COLENBERG EAKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2045 HIGHWAY 61 N, PORT GIBSON, MS 39150
(601) 437-3050
(601) 437-3057
Mailing address
2045 HIGHWAY 61 N, PORT GIBSON, MS 39150-4262
(601) 437-3050
(601) 437-3057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3615-11
MS
1223G0001X
General Practice Dentistry
361511
MS
1223G0001X
General Practice Dentistry
PENDING
MS
Other
Enumeration date
08/24/2011
Last updated
02/12/2019
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