NPI | 1013932920 |
---|---|
Doing Business As | WILLOWBROOK DENTAL CENTER |
Entity Type | Organization |
Authorized Contact | JULIE A HOWELL Office Manager 662-327-4523 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MS 325403) |
Enumeration Date | 2006-07-12 |
Last Update Date | 2012-12-13 |