Individual
DR. JEFFREY JAMES STYSKAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
606 FISHER ST, KEESLER AFB, MS 39534-2513
(228) 376-0511
Mailing address
606 FISHER ST, KEESLER AFB, MS 39534-2513
(228) 376-0511
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7853
AZ
Other
Enumeration date
08/13/2009
Last updated
08/13/2009
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