Individual
DR. HOLLY MCLAURIN DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
348 SAINT IVES DR, MADISON, MS 39110-7182
(601) 291-0276
Mailing address
348 SAINT IVES DR, MADISON, MS 39110-7182
(601) 291-0276
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3419-07
MS
Other
Enumeration date
07/23/2007
Last updated
06/05/2013
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