| NPI | 1386373736 |
|---|---|
| Doing Business As | OZARK PROSTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | SARAH IRONSIDE Credentialing Specialist 479-871-3488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist Prosthodontics |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2024-08-14 |