| NPI | 1073892576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA GOODLOE President 601-859-9595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2942-96) |
| Enumeration Date | 2011-08-15 |
| Last Update Date | 2011-08-15 |