Organization
MARGO R MARVEGGIO DMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY EMERSON (OFFICE MANAGER)
(601) 636-6081
Entity
Organization
Contact information
Practice address
1011 MISSION 66, VICKSBURG, MS 39183-2753
(601) 636-6081
Mailing address
1011 MISSION 66, VICKSBURG, MS 39183-2753
(601) 636-6081
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2624-91
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05900018
—
MS
Enumeration date
04/14/2008
Last updated
04/14/2008
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