| NPI | 1104893189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT C MILTON Owner 870-364-3313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3154) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3107) |
| 1223G0001X Dentist, General Practice (Licence: AR 3522) | |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2020-08-22 |