| NPI | 1013210624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LINDSEY BELKNAP Dentist 601-450-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3044-98) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3394-06) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2010-12-21 |