| NPI | 1912077082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COOPER E CALLAWAY President 662-615-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: MS 299197) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |