Jennifer Michelle Waller-Smith, DDS

NPI #1720389794 in Choctaw, Mississippi

Provider Information

NPI Number: 1720389794
Entity Type: Individual
Name: Jennifer Michelle Waller-Smith, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Nov 8, 2010
Last Updated: Nov 8, 2010

Practice Location

Address: 210 HOSPITAL CIR
City: Choctaw
State: Mississippi
ZIP Code: 39350-6781
Phone: (601) 656-2211

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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