Individual
CALVIN WAYNE CASWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6030
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1749-77
MS
Other
Enumeration date
02/18/2014
Last updated
02/18/2014
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