| NPI | 1255415956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN A AUSTIN Owner Pres 501-851-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AR AR3521) |
| Additional Taxonomies | 122300000X Dentist (Licence: AR AR3057) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-05-06 |