| NPI | 1639213275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD STEPHEN WHEELER President 228-832-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2106-84) |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2013-01-10 |