| NPI | 1932499241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUSTACE H WINN Owner 662-332-9011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 2893-95) |
| Enumeration Date | 2011-04-08 |
| Last Update Date | 2011-04-08 |