Individual
LARRY SUMRALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
Mailing address
117 S 11TH AVE, LAUREL, MS 39440-4312
(601) 425-3033
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
141870
MS
Other
Enumeration date
08/11/2006
Last updated
02/08/2017
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