| NPI | 1376757138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL B. MAYFIELD Orthodontist 228-497-9844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 03171) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |