| NPI | 1174706725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOVIS ANDREW KITCHENS Dentist/Owner 501-868-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2186) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3512) |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2011-12-28 |