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Individual

DR. SONJA T STIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
3550 HIGHWAY 468 W, PEARL, MS 39208-5529
(601) 351-8000
(601) 351-8301
Mailing address
PO BOX 157A, WHITFIELD, MS 39193-0157
(601) 351-8000
(601) 351-8301

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2750-93
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00660067
MS
Enumeration date
07/12/2006
Last updated
07/08/2007
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