Individual
JARED QUAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
940 CHURCH RD W, SOUTHAVEN, MS 38671-9611
(228) 697-3543
Mailing address
13725 JOHN LEE RD, BILOXI, MS 39532-9653
(228) 697-3543
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
111170
MS
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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