FANASY PROKOP JEFCOAT

MADISON, MS
NPI1154401909
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1223P0300X Dentist Periodontics
(Licence: MS  3251-03)
Enumeration Date2006-10-16
Last Update Date2017-02-07
Business Address
DR. FANASY PROKOP JEFCOAT D.M.D., MS
101 WEBSTER CIRCLE SUITE 100
MADISON, MS 39110
Phone number: 601-605-6511
Mailing Address
DR. FANASY PROKOP JEFCOAT D.M.D., MS
2044 TIDEWATER LN
MADISON, MS 39110-8927
Phone number: 601-605-6511
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