| NPI | 1376237701 |
|---|---|
| Other Name | ARKANSAS CHILDREN'S MEDICAL GROUP - DENTAL |
| Entity Type | Organization |
| Authorized Contact | ROBERT S. WILLIAMS President 501-364-2090 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Additional Taxonomies | 122300000X Dentist |
| 1223P0300X Dentist, Periodontics | |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery | |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-07 |