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Organization

MAGNOLIA SMILES OF PETAL PLLC

Active
Other names
Magnolia Smiles Of Petal, Magnolia Smiles Of Petal PLLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. OSCAR R JONES DMD (OWNER/ DENTIST)
(601) 735-5086
Entity
Organization

Contact information

Practice address
1229 HIGHWAY 42 STE 160-170, PETAL, MS 39465-2733
(601) 735-5086
Mailing address
1229 HIGHWAY 42 STE 160-170, PETAL, MS 39465-2733
(601) 735-5086

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200000763
MS
Enumeration date
05/24/2022
Last updated
02/07/2023
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