| NPI | 1962523944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT M ABRAHAM President 601-638-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MS 1513-72) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2010-07-13 |