| NPI | 1669523924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DAVID NEAVES Owner 662-289-2771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 1465-71) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2012-11-27 |