| NPI | 1215229786 |
|---|---|
| Doing Business As | MAXILLOFACIAL DIAGNOSTICS, PLLC |
| Entity Type | Organization |
| Authorized Contact | SUZANNE K COCO Prosthodontists 501-319-7520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: AR 3533) |
| Additional Taxonomies | 1223P0700X Dentist, Prosthodontics (Licence: AR 3543) |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2011-05-03 |