| NPI | 1295937498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS BURTON GUY Orthodontist 601-981-5004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 1349-69) |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2020-08-22 |