| NPI | 1669837910 |
|---|---|
| Doing Business As | PEDIATRIC DENTAL GROUP OF LAUREL |
| Entity Type | Organization |
| Authorized Contact | ANDREW SCOTT MIDDLETON Partner 601-450-6060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 3044-98) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |