Individual
DR. MICHAEL ELI VRACAR II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
730 GOODMAN RD E, SOUTHAVEN, MS 38671-9530
(662) 349-2351
Mailing address
730 GOODMAN RD E, SOUTHAVEN, MS 38671-9530
(662) 349-2351
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
400418
MS
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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