Individual
OSCAR EDUARDO VENEGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MBA
Contact information
Practice address
2500 NORTH STATE STREET, JACKSON, MS 39216
(601) 984-6001
Mailing address
2500 NORTH STATE STREET, JACKSON, MS 39216
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
4357-23
MS
Other
Enumeration date
03/23/2023
Last updated
06/08/2023
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