NPI | 1659537884 |
---|---|
Entity Type | Organization |
Authorized Contact | EMILY G BURTON Owner 662-746-6433 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS MS3324-05) |
Enumeration Date | 2008-08-07 |
Last Update Date | 2008-08-07 |