Individual
DR. NEVA PENTON EKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
2500 NORTH STATE ST., SCHOOL OF DENTISTRY DEPT OF PED AND PUB HEALTH DENT, JACKSON, MS 39216-4505
(601) 984-6100
(601) 984-6103
Mailing address
30 LAMPLIGHTER RD, PEARL, MS 39208-3935
(601) 932-0313
(601) 984-6103
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2687-92D
MS
Other
Enumeration date
11/22/2006
Last updated
07/08/2007
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