Organization
COPIAH FAMILY DENTISTRY
Active
Other names
Carl Anthony Boykin, DMD
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL ANTHONY BOYKIN D.M.D (SOLE PROPRIETOR)
(601) 812-8686
Entity
Organization
Contact information
Practice address
217 S EXTENSION ST, HAZLEHURST, MS 39083-3322
(601) 894-4244
(601) 894-4344
Mailing address
217 S EXTENSION ST, HAZLEHURST, MS 39083-3322
(601) 894-4244
(601) 894-4344
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3431-07
MS
Other
Enumeration date
09/20/2010
Last updated
09/24/2010
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