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DR. LATOYA DENISE COLENBERG EAKINS D.M.D.

General Practice >> Dentist >> Dental Providers

Registrant NPI Number: 1144500091

Individual Registrant:
DR. LATOYA DENISE COLENBERG EAKINS D.M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
2045 HIGHWAY 61 N  PORT GIBSON, MS 39150 US
Tel: 601-437-3050  Fax: 601-437-3057

Contact information for business:
2045 HIGHWAY 61 N  PORT GIBSON, MS 39150-4262 US
Tel: 601-437-3050  Fax: 601-437-3057

Registration Information:
NPI: 1144500091
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223G0001XDental Providers
Dentist
General Practice
MS3615-11
N1223G0001XDental Providers
Dentist
MSPENDING
N1223G0001XDental Providers
Dentist
MS361511

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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