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Pediatric Dentistry

Jackson, Mississippi

Provider NPI: 1083936132

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
5315 HIGHWAY 18 W  JACKSON, MS 39209 US
Tel: 601-922-0066  Fax: 601-922-0077

Business Mailing Address:
5315 HIGHWAY 18 W  JACKSON, MS 39209 US
Tel: 601-922-0066  Fax: 601-922-0077

Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Pediatric Dentistry


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