| NPI | 1982818282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A. COLLINS Office Manager 601-856-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: MS ENDO 4-77) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |