| NPI | 1942960802 |
|---|---|
| Doing Business As | RICHLAND DENTAL |
| Entity Type | Organization |
| Authorized Contact | KIM WILLIAMSON Office Manager 601-932-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2021-12-20 |