Individual
JOSEPH BOONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
315 MORRISON DR, CLINTON, MS 39056-5239
(601) 925-5163
(601) 925-5184
Mailing address
315 MORRISON DR, CLINTON, MS 39056-5239
(601) 925-5163
(601) 925-5184
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
371713
MS
Other
Enumeration date
07/24/2013
Last updated
07/24/2013
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