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1265719959
DIXON J WISE
LAUREL, MS
NPI
1265719959
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MS 10449)
Enumeration Date
2011-11-08
Last Update Date
2017-02-08
Business Address
Mr. DIXON J WISE D.M.D.
117 S 11TH AVE
LAUREL, MS 39440-4312
Phone number: 601-425-3033
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Mailing Address
Mr. DIXON J WISE D.M.D.
PO BOX 4361
LAUREL, MS 39441-4361
Phone number: 601-425-3033
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