LEROY ALLEN SELVIDGE

OXFORD, MS
NPI1568672293
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  1767-77)
Enumeration Date2007-05-23
Last Update Date2007-07-08
Business Address
Dr. LEROY ALLEN SELVIDGE D.D.S.
1108 MIMOSA DR
OXFORD, MS 38655-5102
Phone number: 662-234-0922
Mailing Address
Dr. LEROY ALLEN SELVIDGE D.D.S.
1108 MIMOSA DR
OXFORD, MS 38655-5102
Phone number: 662-234-0922
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