Schedule Your TMJ and Orofacial Pain Evaluation in Jackson, MS
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Patient Evaluation Form
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PROVIDER REFERRAL FORM
Mississippi Orofacial Pain Specialists
Dr. Paul C. Riley, DDS
108 S Maple St, Suite C | Ridgeland, MS 39157
www.mississippitmj.com | Call
(769) 567-2555 | Fax (769) 567-2556
Please Give 24 Hours Notice if Unable to Keep Appointment