NPI | 1043614100 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD D ROBLEE President 479-306-4400 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 2720) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |