| NPI | 1154561728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRENT WEBB Dentist 601-450-2540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3424-07) |
| Enumeration Date | 2009-02-23 |
| Last Update Date | 2009-02-23 |