| NPI | 1295900553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L. BEVANS Dentist 501-224-4799 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 1833) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-04-28 |