| NPI | 1124578075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MEREDITH Practice Management Consultant 501-483-3939 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3750) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |