Individual
ROSALYN MAVIS WHITE-GAMBRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
1818 COLLEGE DRIVE, MERIDIAN, MS 39307-5429
(601) 527-9307
(601) 483-5543
Mailing address
728 N HILLS ST, MERIDIAN, MS 39305-1923
(601) 483-2820
(601) 483-2820
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
203883
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00064018
—
MS
Enumeration date
01/14/2007
Last updated
10/15/2020
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