| NPI | 1124264965 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH R. THOMPSON Dentist/Owner 479-273-5345 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 1888) |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2008-12-29 |