NPI | 1043423841 |
---|---|
Doing Business As | THAMES FAMILY DENTISTRY PLLC |
Entity Type | Organization |
Authorized Contact | STEPHANI PAIGE HAWKINS Office Administrator 662-895-7338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 2182 85) |
Enumeration Date | 2007-05-08 |
Last Update Date | 2012-05-03 |