NPI | 1043815855 |
---|---|
Entity Type | Organization |
Authorized Contact | WHITNEY A POWELL Office Manager 601-261-2611 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
Enumeration Date | 2020-12-01 |
Last Update Date | 2020-12-21 |