NPI | 1306145222 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRIS D HUGHES CEO 601-926-4647 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MS 2949) |
Enumeration Date | 2011-03-17 |
Last Update Date | 2011-03-17 |