Individual
DR. MARY CASKEY OUSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1532 W 15TH ST, LAUREL, MS 39440-2102
(601) 428-0082
Mailing address
1532 W 15TH ST, LAUREL, MS 39440-2102
(601) 428-0082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4063-19
MS
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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