NPI | 1245753300 |
---|---|
Doing Business As | BROWN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KEITH ABRAM BROWN Owner /Dentist 601-947-1219 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MS 2663-92D) |
Additional Taxonomies | 122300000X Dentist (Licence: MS 3948-17) |
Enumeration Date | 2017-07-20 |
Last Update Date | 2017-07-20 |