| NPI | 1568755106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HUGH C SMITH Pediatric Dentist 662-843-5011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 169975) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |