| NPI | 1790801298 |
|---|---|
| Former Legal Business Name | CATHERINE JOHNSON MINCY, DDS |
| Entity Type | Organization |
| Authorized Contact | CATHERINE JOHNSON MINCY Owner 662-728-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3009-97) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |