NPI | 1558732396 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDSEY HILL WARNER Owner 662-803-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3589-11) |
Enumeration Date | 2015-10-19 |
Last Update Date | 2015-10-19 |