| NPI | 1376729095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL CODY FRIDDLE Dentist 479-452-8800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3558) |
| Enumeration Date | 2008-01-11 |
| Last Update Date | 2008-01-11 |