NPI | 1275681967 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN ALEXANDER PITFIELD Periodontist 601-264-2424 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: MS 2568-90) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2020-08-22 |