| NPI | 1619056892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA RUSHING Owner/Dentist 601-936-3430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3276) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2021-06-30 |