| NPI | 1124396635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D GROUNDS Dentist 501-753-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2208) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2020-06-11 |