Individual
MICHAEL STRUTHERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
301 FISHER ST, KEESLER AFB, MS 39534-2508
(228) 376-5118
Mailing address
301 FISHER ST, KEESLER AFB, MS 39534-2508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8674146-9922
UT
Other
Enumeration date
02/26/2013
Last updated
07/07/2022
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