| NPI | 1225432388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN HAMILTON DEAN Dentist 501-771-2911 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: AR 3118) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2023-09-06 |