JIMMY DALE VANCE

JACKSON, MS
NPI1962425421
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: MS  2753-93)
Enumeration Date2006-07-25
Last Update Date2007-07-08
Business Address
Dr. JIMMY DALE VANCE DMD
1500 EAST WOODROW WILSON DRIVE
JACKSON, MS 39216-5199
Phone number: 601-364-1294
Mailing Address
Dr. JIMMY DALE VANCE DMD
206 CLARK FARMS RD
MADISON, MS 39110-8106
Phone number: 601-853-9282
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