| NPI | 1023657343 |
|---|---|
| Doing Business As | FISH FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | DANIEL JOSEPH FISH Dentist 479-409-5097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2020-01-03 |