| NPI | 1295994333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN C MASSEY Dentist 479-442-6995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2059) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |