Individual
MRS. BRETT ELICIA QUON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSDH, RDH
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 624-5124
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 624-5124
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4608-20DH
MS
Other
Enumeration date
02/14/2025
Last updated
02/14/2025
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