Individual
MARISSA W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1024 SPRING STREET, WESSON, MS 39191
(601) 748-6699
Mailing address
PO BOX 873, WESSON, MS 39191-0873
(601) 748-6699
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4302-22
MS
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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