| NPI | 1215471511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY B WEST Owner Dentist 870-423-6963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 4044) |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |