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Individual

DR. CLORA JAMIE O'REILLY EVANS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
2300 N HILLS ST STE B, MERIDIAN, MS 39305-2633
(769) 249-0001
Mailing address
28 WIMBLEDON DR, JACKSON, MS 39211-2443
(601) 594-9202

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D.0006692-C1
AL
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
OR-604-21
MS

Other

Enumeration date
08/07/2019
Last updated
09/24/2021
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