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 |