Individual
KEVIN DANIEL VERRRETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1708 EAST PASS ROAD, GULFPORT, MS 39507
(228) 822-9190
(228) 822-9559
Mailing address
1708 EAST PASS ROAD, GULFPORT, MS 39507
(228) 822-9190
(228) 822-9559
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2891-95
MS
Other
Enumeration date
08/18/2006
Last updated
09/25/2008
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