| NPI | 1821355785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH K. SHLEWEET Dentist 662-627-3633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS 3359-05) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-05-02 |