| NPI | 1275785693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE TAYLOR Owner/Dentist 870-972-6985 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2732) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |