| NPI | 1992695571 |
|---|---|
| Doing Business As | COLUMBIA FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | ETHAN EMBREY MOORE Dentist/Owner 601-736-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2025-07-07 |
| Last Update Date | 2025-07-07 |