| NPI | 1598995755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T. NEELY Dentist/Owner 662-561-1045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2650-91) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |