| NPI | 1316392012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD GILLIAN President 501-225-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 1739) |
| Enumeration Date | 2016-04-30 |
| Last Update Date | 2016-04-30 |