| 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 |