JEFFERY DALE HARTSOG

JACKSON, MS
NPI1518969633
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: MS  2079-84)
Enumeration Date2005-06-01
Last Update Date2007-07-08
Business Address
DR. JEFFERY DALE HARTSOG DMD
1437 OLD SQUARE RD
JACKSON, MS 39211-5535
Phone number: 601-362-1685
Mailing Address
DR. JEFFERY DALE HARTSOG DMD
1437 OLD SQUARE RD
JACKSON, MS 39211-5535
Phone number: 601-362-1685
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