ROGER WIRTZ DMD PA

JACKSON, MS
NPI1861564817
Entity TypeOrganization
Authorized ContactROGER STEPHENSON WIRTZ
President
601-982-5349
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: MS  204083)
Enumeration Date2006-11-14
Last Update Date2020-08-22
Business Address
ROGER WIRTZ DMD PA
1765 LELIA DRIVE
JACKSON, MS 39216-4820
Phone number: 601-982-5349
Mailing Address
ROGER WIRTZ DMD PA
1765 LELIA DRIVE
JACKSON, MS 39216-4820
Phone number: 601-982-5349
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