| NPI | 1215251673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLETTA YALONDA BARNES Owner 601-545-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3248-03) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |