| NPI | 1306060850 |
|---|---|
| Doing Business As | DEATLEY DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | IRVIN MATTHEW DEATLEY Owner 870-425-1441 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AR 3573) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2008-06-19 |