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Individual

DOUGLAS F HARVEL, JR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1040 HIGHWAY 35 S, FOREST, MS 39074
(601) 469-3851
(601) 469-4356
Mailing address
1040 HIGHWAY 35 SOUTH, FOREST, MS 39074
(601) 469-3851
(601) 469-4356

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3040
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660246
MS
Enumeration date
01/16/2007
Last updated
09/30/2011
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