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Individual

DR. COURTNEY MIKEL ATKINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2951 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 776-1355
Mailing address
2951 KANELL BLVD, POPLAR BLUFF, MO 63901-4008
(573) 776-1355

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
021.002390
IL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2006018229
MO

Other

Enumeration date
11/10/2010
Last updated
12/10/2010
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