NPI | 1205229101 |
---|---|
Entity Type | Organization |
Authorized Contact | OSCAR RANDOLPH JONES Dentist 601-735-5086 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3744-14) |
Enumeration Date | 2015-03-17 |
Last Update Date | 2015-03-17 |