| NPI | 1417287376 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BRITTON MONTGOMERY Doctor 601-853-1307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 3388-06) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2014-11-24 |