| NPI | 1861650368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM O RIVES Owner 601-605-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 320701) |
| Enumeration Date | 2008-05-30 |
| Last Update Date | 2008-05-30 |