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Individual

DR. TERRANCE LEMOND WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
304 HARMONY RD, CRYSTAL SPRINGS, MS 39059-2809
(601) 892-1904
(601) 647-1333
Mailing address
PO BOX 1025, CRYSTAL SPRINGS, MS 39059-1025
(601) 892-1904
(601) 647-1333

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3439-07
MS
1223G0001X
General Practice Dentistry
DS0000008594
TN

Other

Enumeration date
08/07/2008
Last updated
06/19/2014
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