| NPI | 1659501724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY L. WEEKS President/Owner 662-473-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 203783) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |