ALTUS HARVEY LESLIE

EUPORA, MS
NPI1861523748
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  2185-85)
Enumeration Date2007-03-09
Last Update Date2007-07-08
Business Address
Dr. ALTUS HARVEY LESLIE D.M.D.
202 MEADOWLANE ST
EUPORA, MS 39744-2219
Phone number: 662-258-2461
Mailing Address
Dr. ALTUS HARVEY LESLIE D.M.D.
328 S MAIN ST
GRENADA, MS 38901-3215
Phone number: 662-801-6161