NPI | 1104957422 |
---|---|
Former Legal Business Name | THERESA G. JONES, D.M.D., P.A. |
Entity Type | Organization |
Authorized Contact | THERESA G JONES Dentist / President 228-604-2445 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 202283) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2018-03-15 |