ACIE WHITLOCK

JACKSON, MS
NPI1013921998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  230386)
Enumeration Date2006-07-28
Last Update Date2007-09-18
Business Address
Dr. ACIE WHITLOCK DMD
514G E WOODROW WILSON AVE
JACKSON, MS 39216-4538
Phone number: 601-982-7636
Mailing Address
Dr. ACIE WHITLOCK DMD
514G E WOODROW WILSON AVE
JACKSON, MS 39216-4538
Phone number: 601-982-7636
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MISSISSIPPI DENTAL CENTER OF JACKSON LLC