| NPI | 1841565538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J NEELY Dentist/Owner 601-948-2073 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 228886) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |