| NPI | 1609054758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH D YATES President 662-494-1700 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 153172) |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-01-31 |