Raeline K. Mcintyre, Dmd, P.c.

NPI 1134552623 - Dentist - 122300000X

NPI Details
NPI 1134552623
Enumeration Date 08/20/2013
Last Updated 09/25/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name RAELINE K. RAELINE
Position OWNER
Phone (228) 539-5410
Fax (228) 539-0265
Practice Location
505 COWAN RD
GULFPORT MS, 39507-2024, US
Phone (228) 539-5410
Fax (228) 539-0265
Business Location
505 COWAN RD
GULFPORT MS, 39507-2024, US
Phone (228) 539-5410
Fax (228) 539-0265
Toxanomy
Taxonomy Code 122300000X
License State Mississippi
License Number 3205-01
Remove 1134552623 NPI Number
 

According to our database, Raeline K. Mcintyre, Dmd, P.c. NPI is 1134552623, taxonomy code is 122300000X and license number is 3205-01, license state is located at Mississippi. Raeline K. Mcintyre, Dmd, P.c. physically located at 505 Cowan Rd, Gulfport MS, 39507-2024. NPI Number 1033115704 has the healthcare provider type.

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1134552623 NPI number is provided on an as is basis without warranty of any kind. 1134552623 is maintained by the National Plan & Provider Enumeration System. The contents of Raeline K. Mcintyre, Dmd, P.c. are for informational purposes only.