| NPI | 1043535768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SONYA FALECIA WHITE Dentist 228-474-7645 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2967) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-04-06 |