| NPI | 1003114547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY LEE IRONS Dentist 228-863-6413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 1781-77) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |