| NPI | 1205986809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY M WHITES Share Holder 662-453-5536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 230286) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2020-08-22 |