| NPI | 1356537948 |
|---|---|
| Doing Business As | WHITLOCK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | PATRICIA R WHITLOCK Bookkeeper 601-982-7636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2007-09-18 |