| NPI | 1285826933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCKY DON CULLENS President 479-434-4430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist Oral and Maxillofacial Surgery (Licence: AR 3583) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-02-20 |