| NPI | 1134545569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE L PENLEY President 601-749-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3550-10) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2014-03-10 |