NPI | 1972056240 |
---|---|
Doing Business As | ELLIS & MORGAN FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | KAITLYN E MORGAN Owner/Dentist 601-629-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: MS 3872-16) |
Enumeration Date | 2016-08-03 |
Last Update Date | 2016-08-03 |