Individual
HONG JIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6888 GOODMAN RD STE 123, OLIVE BRANCH, MS 38654-8761
(662) 350-8647
Mailing address
6888 GOODMAN RD STE 123, OLIVE BRANCH, MS 38654-8761
(662) 350-8647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4337-22
MS
1223G0001X
General Practice Dentistry
11932
TN
Other
Enumeration date
06/13/2022
Last updated
08/13/2025
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