| 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 |