NPI | 1760697437 |
---|---|
Doing Business As | WILLIS & PARKER FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | J. A. WILLIS Partner 228-769-9010 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 1858-79) |
Enumeration Date | 2007-05-14 |
Last Update Date | 2008-07-24 |