NPI | 1700167145 |
---|---|
Doing Business As | MERIDIAN PEDIATRIC DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JOHN BRITT MCCARTY Owner 601-482-8986 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS pedo129-87) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-08-30 |