| NPI | 1407203268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASIF LALA Owner/Oral Surgeon 601-485-2494 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 3785-15) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2016-05-20 |