Individual
DR. ELI MATTHAN CANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
102 N ROBINSON ST, SENATOBIA, MS 38668-2149
(662) 562-9484
Mailing address
6501 HIGHWAY 51 N, HORN LAKE, MS 38637-2414
(901) 734-1742
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4069-19
MS
Other
Enumeration date
06/12/2019
Last updated
06/12/2019
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