DR. Ollie Hardaway JR., D.D.S.

NPI #1063539138 in Vicksburg, Mississippi

Provider Information

NPI Number
1063539138
Entity Type
Individual
Name
DR. Ollie Hardaway JR., D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Credential
D.D.S.
Enumeration Date
Mar 23, 2007
Last Updated
Dec 17, 2007

Practice Location

Address
154 COTTONWOOD STREET
ZIP Code
39180
Phone
(662) 873-4593

Specialties & Taxonomy Codes

Specialty
Dentist
Dentist - General PracticeGeneral Practice

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