| NPI | 1336554831 |
|---|---|
| Doing Business As | WHITLOCK ORTHODONTICS OF FORT SMITH |
| Entity Type | Organization |
| Authorized Contact | SCOTT L BOLDING Owner 479-717-1047 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AR 3025) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-10-03 |