| NPI | 1588833057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN DUANE GERMANY Dentist/Owner 601-824-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 3269-03) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |