| NPI | 1912623141 |
|---|---|
| Doing Business As | VIP SMILES ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | CLORA EVANS Owner 601-594-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2022-10-19 |
| Last Update Date | 2022-10-19 |