| NPI | 1194438986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE CURTIS WINDHAM Pediatric Dentist/Owner 662-327-0995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2022-12-27 |
| Last Update Date | 2022-12-27 |