| NPI | 1346487105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY DRYDEN HEAD President / Owner 601-450-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 3423) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2011-12-20 |