| NPI | 1174816706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES EDWIN KNIGHT Owner 501-224-3008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AR 2163) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2011-05-16 |