| NPI | 1134569981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNDSEY CAMILLE SANDIFER President/Doctor 601-981-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS OR-458-12) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2013-06-25 |