| NPI | 1164938650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KENNON CURTIS President 662-327-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 2264-86) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2017-12-19 |