| NPI | 1669361671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN BRITTON MONTGOMERY Orthodontist 601-940-2242 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-07-02 |
| Last Update Date | 2025-07-22 |