| NPI | 1730265083 |
|---|---|
| Former Legal Business Name | BISHOP & BASS, PA |
| Entity Type | Organization |
| Authorized Contact | ROGER KYLE BASS Co Owner 601-765-4355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2006-10-30 |
| Last Update Date | 2020-04-03 |