NPI | 1306945159 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBBINS MARK BAILEY Owner/President 479-637-2735 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR AR2625) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2020-08-22 |