NPI | 1164271060 |
---|---|
Doing Business As | HIGGINBOTHAM FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MISTI ROSS Insurance Director 870-336-3732 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2024-05-14 |
Last Update Date | 2024-05-14 |