| NPI | 1265650931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE C. JONES Orthodontist 601-922-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MS 1276-67) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2020-08-22 |