| NPI | 1891875118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARD EDWIN DAWKINS Owner General Dentist 662-234-5725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 2668) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |