| NPI | 1164741831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER KINNARD LITTLE Dentist 251-438-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AL 4581) |
| Enumeration Date | 2010-05-20 |
| Last Update Date | 2010-05-20 |