| NPI | 1073954574 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN HERRON Ofiice Manager 501-337-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2077) |
| Enumeration Date | 2013-07-12 |
| Last Update Date | 2013-07-12 |