| 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.
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