| NPI | 1942608112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAMONICA DAVIS Pediatric Dentist 601-665-4996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: MS PEDO-483-14) |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2014-12-19 |