KIMBERLY MOODY WADE

JACKSON, MS
NPI1245533975
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  3578-10)
Enumeration Date2010-12-20
Last Update Date2010-12-20
Business Address
Dr. KIMBERLY MOODY WADE D.M.D.
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321
Mailing Address
Dr. KIMBERLY MOODY WADE D.M.D.
3502 W NORTHSIDE DR
JACKSON, MS 39213-4454
Phone number: 601-362-5321