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1366822397
SUZANNA ELLZEY NIDA
HATTIESBURG, MS
NPI
1366822397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: MS 3794-15)
Enumeration Date
2015-06-04
Last Update Date
2018-10-02
Business Address
Dr. SUZANNA ELLZEY NIDA D.M.D.
4348 LINCOLN RD.
HATTIESBURG, MS 39402
Phone number: 601-261-5552
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Mailing Address
Dr. SUZANNA ELLZEY NIDA D.M.D.
10 AVERY KNOLL
HATTIESBURG, MS 39402
Phone number:
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