Individual
DR. KIONO LANCE BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
606 FISHER ST, KEESLER AFB, MS 39534-2513
(228) 377-4510
Mailing address
12215 CHARWOOD AVE, GULFPORT, MS 39503-2447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3346-05
MS
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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