| NPI | 1811254931 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GLENN LINDSAY Director Of Dental Programs 601-484-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS No. 1983-82) |
| Enumeration Date | 2012-04-13 |
| Last Update Date | 2012-04-13 |