NPI | 1083954739 |
---|---|
Doing Business As | OLE BROOK PEDIATRIC DENTISTRY |
Entity Type | Organization |
Authorized Contact | JOEY SESSUMS Dentist/Owner 601-833-6113 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 3552-10) |
Enumeration Date | 2013-02-18 |
Last Update Date | 2013-05-28 |