| NPI | 1972779494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JASON CALDWELL Dentist, CEO 601-992-1285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: MS 2464-89) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |