| NPI | 1134414733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | L LEE COPE Dentist 601-922-0066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 1865-80) |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |