| NPI | 1316216716 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL GROUP OF HATTIESBURG |
| Entity Type | Organization |
| Authorized Contact | TINA MYERS Office Manager 601-450-6060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2012-01-24 |