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1568672293
LEROY ALLEN SELVIDGE
OXFORD, MS
NPI
1568672293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 1767-77)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
Dr. LEROY ALLEN SELVIDGE D.D.S.
1108 MIMOSA DR
OXFORD, MS 38655-5102
Phone number: 662-234-0922
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Mailing Address
Dr. LEROY ALLEN SELVIDGE D.D.S.
1108 MIMOSA DR
OXFORD, MS 38655-5102
Phone number: 662-234-0922
Copy
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