| NPI | 1043609522 |
|---|---|
| Doing Business As | TATUM ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MARK DAKE Owner 501-781-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 2681) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |