| NPI | 1093802209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALBERT HANBY President 479-751-8631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 621) |
| Enumeration Date | 2006-10-07 |
| Last Update Date | 2020-08-22 |