| NPI | 1689816407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T TRAMEL President 601-982-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 220585) |
| Additional Taxonomies | 122300000X Dentist (Licence: MS 318301) |
| Enumeration Date | 2009-03-25 |
| Last Update Date | 2009-03-25 |