| NPI | 1184765372 |
|---|---|
| Doing Business As | UNIVERSITY DENTISTS |
| Entity Type | Organization |
| Authorized Contact | GARY WAYNE REEVES Practice Manager 601-984-6186 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2013-04-25 |