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1770669020
ROGER KYLE BASS
COLLINS, MS
NPI
1770669020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MS 3287)
Enumeration Date
2006-10-30
Last Update Date
2007-07-09
Business Address
Mr. ROGER KYLE BASS D.M.D.
103 SOUTH FIR AVE.
COLLINS, MS 39428
Phone number: 601-765-4355
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Mailing Address
Mr. ROGER KYLE BASS D.M.D.
103 SOUTH FIR AVE.
COLLINS, MS 39428
Phone number: 601-765-4355
Copy
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