| NPI | 1912270406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D HILL Owner 601-408-7780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2730-93) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2014-09-04 |