| NPI | 1124599105 |
|---|---|
| Doing Business As | FAMILY DENTAL CENTER OF LAUREL |
| Entity Type | Organization |
| Authorized Contact | SHELLEY S. TAYLOR Owner/Dentist 601-428-0082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2018-12-17 |