NPI | 1336875558 |
---|---|
Doing Business As | HIGGINBOTHAM FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MISTI ROSS Insurance Director 870-336-3732 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2022-07-29 |
Last Update Date | 2022-09-27 |