NPI | 1184765372 |
---|---|
Doing Business As | UNIVERSITY DENTISTS |
Entity Type | Organization |
Authorized Contact | STACY CLARDY Practice Manager 601-984-4699 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2007-02-09 |
Last Update Date | 2025-03-03 |