SOUTH JACKSON FAMILY DENTAL, PLLC

JACKSON, MS
NPI1821406570
Entity TypeOrganization
Authorized ContactLAKE GARNER
Owner
601-271-8710
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  2940-96MS)
Enumeration Date2014-07-25
Last Update Date2014-07-25
Business Address
SOUTH JACKSON FAMILY DENTAL, PLLC
5643 HIGHWAY 18 W SUITE G
JACKSON, MS 39209-9529
Phone number: 601-922-0056
Mailing Address
SOUTH JACKSON FAMILY DENTAL, PLLC
PO BOX 18560
HATTIESBURG, MS 39404-8560
Phone number: 601-271-8710
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