| NPI | 1033269840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN L SURBER Owner 601-477-3771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2366-87) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2016-08-31 |