NPI | 1336351774 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY REXEL BROWNING President 870-572-6575 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3017) |
Enumeration Date | 2007-05-06 |
Last Update Date | 2020-08-22 |