| NPI | 1770934069 |
|---|---|
| Doing Business As | BELLEMEADE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | TRICIA AINSWORTH WILKE Office Manager 601-919-8575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2016-06-28 |