| NPI | 1073735221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CONLEY MASON Owner 501-984-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3388) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2018-08-07 |