| NPI | 1548559586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANA HAL JONES Dentist 228-270-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist |
| Enumeration Date | 2011-03-30 |
| Last Update Date | 2011-03-30 |