| NPI | 1710268669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL OWEN WILLIAMS Orthodontist Director 228-896-8333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 1738-76) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |