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1023281300
DOCKINS DENATLL, LLC
JACKSON, MS
NPI
1023281300
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Entity Type
Organization
Authorized Contact
JO ANDREA T DOCKINS
Dentist
601-982-0048
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 2819-94)
Enumeration Date
2008-04-08
Last Update Date
2008-04-08
Business Address
DOCKINS DENATLL, LLC
500I E WOODROW WILSON AVE
JACKSON, MS 39216-4538
Phone number: 601-982-0048
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Mailing Address
DOCKINS DENATLL, LLC
500I E WOODROW WILSON AVE
JACKSON, MS 39216-4538
Phone number: 601-982-0048
Copy
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