| NPI | 1831249010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ALLEN LIGON Owner 662-236-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: MS 3246) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |