| NPI | 1295423192 |
|---|---|
| Doing Business As | CONGO DENTAL STUDIO |
| Entity Type | Organization |
| Authorized Contact | TRACY MARIE SCHROEPFER Dentist 501-778-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |