DR. Hiram Alfonso Gatewood JR., DMD

NPI #1194938126 in Raymond, Mississippi

Provider Information

NPI Number: 1194938126
Entity Type: Individual
Name: DR. Hiram Alfonso Gatewood JR., DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: May 7, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 450 MAIN ST.
City: Raymond
State: Mississippi
ZIP Code: 39154
Phone: (601) 857-5021

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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