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Organization
T. PALMER WILKS, JR., D.M.D., P.A.
Active
Organization
T. PALMER WILKS, JR., D.M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. T. PALMER WILKS JR. D.M.D. (PRESIDENT)
(601) 856-4110
Entity
Organization
Contact information
Practice address
213 HOY RD, MADISON, MS 39110-8709
(601) 856-4110
(601) 856-8109
Mailing address
PO BOX 859, MADISON, MS 39130-0859
(601) 856-4110
(601) 856-8109
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2304-86
MS
Other
Enumeration date
03/26/2008
Last updated
03/26/2008
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