| NPI | 1386833325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA CURTIS Bookkeeper 601-638-8230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2007-10-16 |