| NPI | 1255483186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HORACE EUGENE COMBS General Dentist 601-798-0500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3213-02) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |