NPI | 1275035602 |
---|---|
Doing Business As | CONWAY DENTAL CENTER PLLC |
Entity Type | Organization |
Authorized Contact | CHAD MATONE Owner/Dentist 501-205-1084 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3574) |
Enumeration Date | 2018-03-01 |
Last Update Date | 2019-02-15 |