| NPI | 1205045549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW KEYS DULANEY Owner 601-373-1351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 226886) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |