ROGER STEPHENSON WIRTZ

JACKSON, MS
NPI1639318116
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  2040-83)
Enumeration Date2009-02-06
Last Update Date2009-02-06
Business Address
Dr. ROGER STEPHENSON WIRTZ D.M.D.
1765 LELIA DR.
JACKSON, MS 39216-4820
Phone number: 601-982-5349
Mailing Address
Dr. ROGER STEPHENSON WIRTZ D.M.D.
1765 LELIA DRIVE
JACKSON, MS 39216-4820
Phone number: 601-982-5349
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