Individual
DR. WILHELMINA FOUCHE O'REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
514F E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 982-3132
(601) 982-3136
Mailing address
514F E WOODROW WILSON AVE, JACKSON, MS 39216-4538
(601) 982-3132
(601) 982-3136
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
PEDO-075-83
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00060004
—
MS
Enumeration date
09/20/2006
Last updated
07/08/2007
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