| NPI | 1316956881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL L WINBORN Pres/Owner 479-478-9955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3295) |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-08-22 |