| NPI | 1346461225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY HUNTER Office Administrator 501-941-2482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3433) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3417) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2010-10-19 |