| NPI | 1477725851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH CHET GATEWOOD Owner 601-924-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 2696) |
| Enumeration Date | 2008-03-26 |
| Last Update Date | 2008-06-24 |