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Individual

DR. HARRY ELLIS GOZA JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
814 S 28TH AVE, HATTIESBURG, MS 39402-2601
(601) 264-3146
(601) 268-2070
Mailing address
10 MARAIS RDG, HATTIESBURG, MS 39402-7963
(601) 268-3930
(601) 268-2070

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1799-78
MS

Other

Enumeration date
08/30/2006
Last updated
07/08/2007
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