NPI | 1750596938 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES A NICHOLSON Orthodontist 601-268-1111 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MS 194181) |
Additional Taxonomies | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: MS 6863) |
Enumeration Date | 2007-05-11 |
Last Update Date | 2020-08-22 |