SUSAN COPE FORTENBERRY

JACKSON, MS
NPI1083936132
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: MS  3429-07)
Enumeration Date2010-02-17
Last Update Date2010-02-17
Business Address
Dr. SUSAN COPE FORTENBERRY D.M.D.
5315 HIGHWAY 18 W
JACKSON, MS 39209-9421
Phone number: 601-922-0066
Mailing Address
Dr. SUSAN COPE FORTENBERRY D.M.D.
5315 HIGHWAY 18 W
JACKSON, MS 39209-9421
Phone number: 601-922-0066
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