| NPI | 1043544307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN MICHAEL HART Owner 501-319-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3543) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics |
| 261QD0000X Clinic/Center, Dental (Licence: AR 3533) | |
| Enumeration Date | 2009-09-18 |
| Last Update Date | 2020-04-22 |