DR. Jamaal Edwin Longino, DMD

NPI #1205090040 in Flowood, Mississippi

Provider Information

NPI Number: 1205090040
Entity Type: Individual
Name: DR. Jamaal Edwin Longino, DMD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DMD
Enumeration Date: Jul 10, 2008
Last Updated: Apr 25, 2017

Practice Location

Address: 105 RIDGE WAY
Address 2: STE
City: Flowood
State: Mississippi
ZIP Code: 39232-3303
Phone: (601) 203-1654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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