| NPI | 1922217314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY L AUSTIN President 601-634-6277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2063-84) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2013-10-01 |