NPI | 1548454838 |
---|---|
Entity Type | Organization |
Authorized Contact | PAULA STEWART STRANGE Owner 601-924-2446 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 288895) |
Enumeration Date | 2007-08-30 |
Last Update Date | 2007-08-30 |