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Individual

DR. JENNIFER KING LAXSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.M.D.

Contact information

Practice address
1085 GLUCKSTADT RD, MADISON, MS 39110-9456
(601) 898-2228
Mailing address
139 MEMORY LN, MADISON, MS 39110-6866
(601) 218-1235

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3460-08
MS

Other

Enumeration date
07/17/2008
Last updated
11/28/2012
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