NPI | 1235301995 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN JEMISON HODGES Owner 601-583-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 3235-02) |
Enumeration Date | 2008-04-02 |
Last Update Date | 2008-04-02 |