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Organization

ORAL & MAXILLOFACIAL SURGERY ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONALD L SEAGO DDS (PRESIDENT)
(601) 366-7324
Entity
Organization

Contact information

Practice address
971 LAKELAND DR, SUITE 225, JACKSON, MS 39216-4643
(601) 366-7324
(601) 366-0228
Mailing address
971 LAKELAND DR, SUITE 225, JACKSON, MS 39216-4643
(601) 366-7324
(601) 366-0228

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
MS

Other

Enumeration date
07/06/2007
Last updated
10/26/2011
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