| NPI | 1144346750 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER M. STEWART Office Manager 870-642-5386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3093) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2020-08-22 |