| NPI | 1902120199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KELLY CRONIN Dentist/Owner 601-450-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 334805) |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |