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Organization

MCCABE DENTAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MIKE C MCCABE DDS (OWNER)
(228) 896-7404
Entity
Organization

Contact information

Practice address
512 COWAN RD, GULPORT, MS 39507
(228) 896-7404
(228) 896-6048
Mailing address
PO BOX 7239, GULFPORT, MS 39506
(228) 896-7404
(228) 896-6048

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/14/2006
Last updated
02/10/2009
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