| NPI | 1417351289 |
|---|---|
| Doing Business As | DREAMTEAM FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | JANITA ALEXANDER SIFFRARD Dentist/Owner 662-895-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 348908) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 3686-13) |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2014-10-22 |