| NPI | 1346479755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN GARY TUMLISON Dentist/Owner 501-327-4589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2039) |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2009-07-07 |