| NPI | 1003302324 |
|---|---|
| Doing Business As | WALNUT RIDGE DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | SAMIR P PATEL Owner 870-886-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4255) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |