| NPI | 1033346143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A. VONDRAN Doctor 501-224-3421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2009-06-16 |
| Last Update Date | 2009-06-16 |