NPI | 1306018619 |
---|---|
Entity Type | Organization |
Authorized Contact | T. PALMER WILKS President 601-856-4110 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 2304-86) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2008-03-26 |