NPI | 1225042286 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN A. BEELER Owner 870-741-2808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR AR2461) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-22 |