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Organization

BARNES FAMILY DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CARLETTA YALONDA BARNES DMD (OWNER)
(601) 545-7055
Entity
Organization

Contact information

Practice address
5910 HIGHWAY 49, STE 15, HATTIESBURG, MS 39401-7585
(601) 545-7055
Mailing address
5910 HWY 49 STE, HATTIEBURG, MS 39401
(601) 545-7055

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3248-03
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09823388
MS
Enumeration date
03/15/2010
Last updated
03/15/2010
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