| NPI | 1952682734 |
|---|---|
| Doing Business As | DOGWOOD PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KYLE REED Member 601-672-6756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: MS 3511-09) |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2011-09-07 |