NPI | 1881811297 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID OSBURN HUGHES President 601-649-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: MS or00777) |
Enumeration Date | 2007-04-19 |
Last Update Date | 2008-08-01 |