| NPI | 1073715579 |
|---|---|
| Doing Business As | CHOCTAW HEALTH CENTER DENTAL |
| Entity Type | Organization |
| Authorized Contact | PHYLLIS J ANDERSON Tribal Chief 601-656-5251 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2012-06-15 |