| NPI | 1093981987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID H HALLIWELL President Owner 601-545-8615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 180078) |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2008-05-01 |