BRENYATTA TRAVIS

HATTIESBURG, MS
NPI1932706306
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  4169-20)
Enumeration Date2020-10-07
Last Update Date2024-07-18
Business Address
BRENYATTA TRAVIS DMD
6052 U S HIGHWAY 98
HATTIESBURG, MS 39402-8861
Phone number: 601-573-3760
Mailing Address
BRENYATTA TRAVIS DMD
991 HIGHWAY 42
PETAL, MS 39465-9739
Phone number: 601-447-4799