| NPI | 1194997775 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL KENNEDY TOLER President 601-981-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 2435-88) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-24 |