| NPI | 1578724506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HODGE Owner 601-482-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 273193) |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |