| NPI | 1013127505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN KEITH ANGEL President 501-224-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3321) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |