| NPI | 1538365952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DAVID NEWMAN Dentist 601-366-7113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3197-01) |
| Enumeration Date | 2007-06-22 |
| Last Update Date | 2012-10-30 |