H Cornwall

NPI #1568623247 in Vicksburg, Mississippi

Provider Information

NPI Number: 1568623247
Entity Type: Individual
Name: H Cornwall
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 24, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 3005 WASHINGTON ST
City: Vicksburg
State: Mississippi
ZIP Code: 39180-4966
Phone: (601) 636-3273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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