| NPI | 1578728648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD C STRACHAN CEO 662-286-3141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 229786) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |