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Organization

VINCENT H COPELAND

Active
Other names
Vincent H Copeland DDS
Organization subpart
No

Provider details

NPI number
Authorized official
MS. SALLIE A ARNETT RDH (SECRETARY)
(662) 363-2663
Entity
Organization

Contact information

Practice address
1040 HIGHWAY 61 SOUTH, TUNICA, MS 38676
(662) 363-2663
(662) 363-2767
Mailing address
1040 HWY 61 SOUTH, TUNICA, MS 38676-1918
(662) 363-2663

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2475
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00060418
MS
05
09676370
MS
Enumeration date
01/22/2008
Last updated
04/04/2013
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