| NPI | 1245644277 |
|---|---|
| Doing Business As | ARKANSAS DENTISTRY AND BRACES |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BURRIS D.D.S, M.D.S., P.A. 479-443-1705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3339) |
| Additional Taxonomies | 1223P0221X Dentist Pediatric Dentistry (Licence: AR 3460) |
| 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AR 4013) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AR 3465) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2015-03-23 |