TRACEY LAMAR DOUGLAS

MADISON, MS
NPI1881751584
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  3035-98)
Enumeration Date2007-01-02
Last Update Date2009-12-03
Business Address
Dr. TRACEY LAMAR DOUGLAS DMD
204 WATERFORD SQ
MADISON, MS 39110-6856
Phone number: 601-856-3182
Mailing Address
Dr. TRACEY LAMAR DOUGLAS DMD
204 WATERFORD SQ
MADISON, MS 39110-6856
Phone number: 601-856-3182
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