| NPI | 1235276312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANDREW DILLON President 601-876-2176 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS MS2717-93) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |