| NPI | 1265446165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD PAUL CALLAN President 501-224-1122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: AR 2203) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |