| NPI | 1275721672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA R EDWARDS Ower/Operator 870-886-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3192) |
| Enumeration Date | 2007-10-10 |
| Last Update Date | 2007-10-10 |