| NPI | 1497895379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANT HUME KAIRIT President 662-562-9868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3095-99) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2020-08-22 |