Individual
ABDULLAH SUFIAN ELASSOULI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
837 S GLOSTER ST, TUPELO, MS 38801-4933
(662) 844-6767
Mailing address
837 S GLOSTER ST, TUPELO, MS 38801-4933
(662) 844-6767
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
411020
MS
122300000X
Dentist
4330
AR
Other
Enumeration date
12/26/2018
Last updated
08/07/2025
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