NPI | 1700029675 |
---|---|
Doing Business As | JENNINGS FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | JASON MATTHEW JENNINGS Dentist/Owner 662-843-2955 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2009-04-08 |
Last Update Date | 2009-04-08 |