| NPI | 1346743044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY BROWN Office Manager 479-445-6884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AR 1764) |
| Enumeration Date | 2018-03-09 |
| Last Update Date | 2018-03-13 |