| NPI | 1689840977 |
|---|---|
| Doing Business As | OAK LANE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHERRY CHANCE PIPPEN Owner, Dentist 601-587-7737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3267-03) |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2008-05-06 |