| NPI | 1154588481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY M WARD President 479-442-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3585) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |