| NPI | 1730442336 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDLER H. PLEASANT Manager 601-825-2411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3654-12) |
| Enumeration Date | 2012-06-19 |
| Last Update Date | 2012-06-19 |