| NPI | 1407008337 |
|---|---|
| Former Legal Business Name | MARY PAIGE HUXFORD DMD PLLC |
| Entity Type | Organization |
| Authorized Contact | TAMMI T LOCKHART Owner 662-323-9726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 3355-05) |
| Enumeration Date | 2008-10-22 |
| Last Update Date | 2023-06-19 |