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Individual

DR. KINESHIA ABRAM ROARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3720 HARDY ST, HATTIESBURG, MS 39402-1550
(601) 264-2779
Mailing address
113 DOGWOOD DR, HATTIESBURG, MS 39402-3304
(601) 602-4142

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3533-10
MS

Other

Enumeration date
01/18/2007
Last updated
05/05/2010
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