| NPI | 1639813454 |
|---|---|
| Other Name | MISSISSIPPI OROFACIAL PAIN |
| Doing Business As | MISSISSIPPI OROFACIAL PAIN SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | PAUL COLEMAN RILEY Authorized Official 769-567-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X2210X Dentist, Orofacial Pain |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2022-04-27 |
| Last Update Date | 2023-12-28 |