Individual
JOANNA HAEWON SEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2500 NORTH STATE STREET, SCHOOL OF DENTISTRY - ADVANCED GENERAL DENTISTRY, JACKSON, MS 39216
(601) 984-6028
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-3156
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4291-22
MS
Other
Enumeration date
06/07/2022
Last updated
12/06/2023
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