| NPI | 1972756971 |
|---|---|
| Doing Business As | LEA ANDY GARROTT, DMD |
| Entity Type | Organization |
| Authorized Contact | REBECCA J OWEN Insurance Secretary 662-563-7644 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: MS 1968-82) |
| Enumeration Date | 2008-11-04 |
| Last Update Date | 2008-11-04 |