| NPI | 1346760519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA G BARTON Office Manager 501-753-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3450) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2017-06-20 |