Individual
DR. JESSICA BOSARGE TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1226 JACKSON AVE, PASCAGOULA, MS 39567-4348
(228) 769-9010
Mailing address
1226 JACKSON AVE, PASCAGOULA, MS 39567-4348
(228) 769-9010
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3750-14
MS
Other
Enumeration date
06/11/2014
Last updated
06/11/2014
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