NPI | 1154490076 |
---|---|
Other Name | PATE FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | YAMILETH MONTOYA PATE Dentist 479-254-8111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3302) |
Enumeration Date | 2006-11-07 |
Last Update Date | 2020-08-22 |