NPI | 1003173634 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWIN KYLE DALTON President 501-327-2030 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 2841) |
Enumeration Date | 2012-04-20 |
Last Update Date | 2012-04-20 |