NPI | 1548401227 |
---|---|
Entity Type | Organization |
Authorized Contact | BRADLEY EMMETT WILLIAMS Owner 601-854-5001 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 269896) |
Enumeration Date | 2009-03-10 |
Last Update Date | 2009-03-10 |