NPI | 1366639585 |
---|---|
Doing Business As | SALINE COUNTY CHILDREN'S DENTISTRY |
Entity Type | Organization |
Authorized Contact | DEREK THOMAS MARKS Owner Operator 501-847-7070 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3619) |
Enumeration Date | 2007-10-02 |
Last Update Date | 2024-06-19 |