NPI | 1003052234 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E ANDERSON Oral & Maxillofacial Surgeon 501-664-3900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 1729) |
Enumeration Date | 2008-12-17 |
Last Update Date | 2011-04-29 |