NPI | 1740435668 |
---|---|
Entity Type | Organization |
Authorized Contact | DREW MIDDLETON Provider 601-450-6060 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS 3044-98) |
Enumeration Date | 2008-11-19 |
Last Update Date | 2008-11-19 |