| NPI | 1114260080 |
|---|---|
| Doing Business As | ARKANSAS DENTISTRY AND BRACES |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BURRIS Owner 479-443-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3465) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3339) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3460) | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 4013) | |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2015-03-03 |