| NPI | 1720260383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MOSELEY COLE President 601-310-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3334-05) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |