| NPI | 1548450794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN EDGAR GRIFFIN Presidnet 662-327-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: MS 1834-79) |
| Enumeration Date | 2007-07-25 |
| Last Update Date | 2007-07-25 |