NPI | 1336441591 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW S ROSS Owner, Dentist 662-234-2722 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 349309) |
Enumeration Date | 2010-11-21 |
Last Update Date | 2010-11-21 |