| NPI | 1952763690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI GUY DAVIS President 601-649-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 3597-11) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |