Organization
SMILES INC P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE R WOODS DDS (PRESIDENT)
(601) 876-0860
Entity
Organization
Contact information
Practice address
310 BEULAH AVE, TYLERTOWN, MS 39667-2702
(601) 876-0860
(601) 876-0102
Mailing address
310 BEULAH AVE, TYLERTOWN, MS 39667-2702
(601) 876-0860
(601) 876-0102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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