| NPI | 1386872075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY GRACE MAPILI EDWARDS Owner/Dentist/President 501-817-3157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AR 3579) |
| Enumeration Date | 2009-07-01 |
| Last Update Date | 2022-03-22 |