Individual
DR. BETTYE RUTH BAPTIST-WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1305 CHURCH RD E, SOUTHAVEN, MS 38671-9711
(662) 349-1141
(662) 349-6227
Mailing address
PO BOX 1168, SOUTHAVEN, MS 38671-0012
(662) 349-1141
(662) 349-6227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1864-80
MS
Other
Enumeration date
07/14/2006
Last updated
07/14/2011
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