| NPI | 1326121146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALAN GRIFFIN President 479-968-1655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3003) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |