| NPI | 1013188176 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN JENNINGS SHEPHERD Office Manager 501-225-1766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AR 3399) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2008-03-17 |