DR. Mundy Scott Breazeale SR.
NPI #1669489290 in Gulfport, Mississippi
Provider Information
- NPI Number
- 1669489290
- Entity Type
- Individual
- Name
- DR. Mundy Scott Breazeale SR.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dentist
- Enumeration Date
- Aug 3, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 430 SECURITY SQ
- City
- Gulfport
- State
- Mississippi
- ZIP Code
- 39507-1952
- Phone
- (228) 896-7022
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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