| NPI | 1154533834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD B WOLFE Orthodontist 601-261-0105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 210884) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-06-04 |