| NPI | 1588795132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS GIPSON GROSS President 601-267-3884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 1973-82) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |