| NPI | 1326221425 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES A LAUDERDALE President 601-693-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: MS 1722 76) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2007-12-11 |