JAMAAL EDWIN LONGINO

FLOWOOD, MS
NPI1205090040
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: MS  3483-08)
Enumeration Date2008-07-10
Last Update Date2017-04-25
Business Address
Dr. JAMAAL EDWIN LONGINO DMD
105 RIDGE WAY STE
FLOWOOD, MS 39232-3303
Phone number: 601-203-1654
Mailing Address
Dr. JAMAAL EDWIN LONGINO DMD
105 RIDGE WAY STE
FLOWOOD, MS 39232-3303
Phone number: