| NPI | 1063673440 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZELMA SEYMORE Office Manager 501-758-6182 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AR 2544) |
| Enumeration Date | 2008-06-19 |
| Last Update Date | 2008-06-19 |