| NPI | 1568798726 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KING CHOW Owner 601-924-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3525-09) |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |