DR. MUNDY BREAZEALE SR.

Dentist

Active Individual
NPI: 1669489290

Practice Address

430 SECURITY SQ
Gulfport, MS 39507

Phone: (228) 896-7022

Specialties

Specialty Code Primary License
Dentist 122300000X Yes 271493 (MS)

Frequently Asked Questions

NPI 1669489290 is the National Provider Identifier for DR. MUNDY BREAZEALE SR., a Dentist provider located in Gulfport, MS. This NPI was enumerated on August 3, 2006.
DR. MUNDY BREAZEALE SR. practices at 430 SECURITY SQ, Gulfport, MS 39507.

Quick Facts

NPI
1669489290
Type
Individual
Enumerated
Aug 3, 2006
Last Updated
Jul 8, 2007

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