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Individual

DR. ALVIN WAYNE REMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
1500 EAST WOODROW WILSON DRIVE, JACKSON, MS 39216
(601) 362-4471
(601) 368-3898
Mailing address
803-RUTHERFORD DRIVE, JACKSON, MS 39206
(601) 982-3570
(601) 682-3570

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2032-83
MS

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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