Individual
DR. RAY HOLDER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2500 N STATE ST, SCHOOL OF DENTISTRY, JACKSON, MS 39216-4500
(601) 985-6028
(601) 984-6039
Mailing address
2500 N STATE ST, SCHOOL OF DENTISTRY, JACKSON, MS 39216-4500
(601) 985-6028
(601) 984-6039
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2413-88
MS
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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