| NPI | 1336280601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN GOOD EDERLE Dentist 501-664-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2739) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2012-10-02 |