| NPI | 1366879249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK KIRCHER Owner 501-666-2801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2807) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3929) |
| Enumeration Date | 2013-10-09 |
| Last Update Date | 2013-10-09 |