| NPI | 1144496225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CHARLES ROTHROCK President 479-751-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AR 2869) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-05-07 |