DENTRAVIOUS GATES

BALDWYN, MS
NPI1992534044
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy208100000X Physical Medicine & Rehabilitation
(Licence: MS  6841)
Enumeration Date2024-07-29
Last Update Date2024-07-29
Business Address
DENTRAVIOUS GATES
220 HILL TOP HTS
BALDWYN, MS 38824-9783
Phone number: 662-216-6672
Mailing Address
DENTRAVIOUS GATES
220 HILL TOP HTS
BALDWYN, MS 38824-9783
Phone number: 662-216-6672