| 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 |