Individual
MR. TERRY LAKE GARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
117 THORNHILL DR, HATTIESBURG, MS 39402
(601) 271-7300
(601) 271-9097
Mailing address
PO BOX 18560, HATTIESBURG, MS 39404
(601) 271-7300
(601) 271-9097
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2940 96
MS
Other
Enumeration date
08/26/2006
Last updated
07/08/2013
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