NPI | 1467554378 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT JESSE SINGLETARY President 601-892-3444 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2035-83) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MS 203583) |
Enumeration Date | 2006-09-01 |
Last Update Date | 2009-09-24 |