| NPI | 1386133155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY MILTON President 870-262-8118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 4189) |
| Enumeration Date | 2018-05-07 |
| Last Update Date | 2018-09-18 |