NPI | 1386922219 |
---|---|
Entity Type | Organization |
Authorized Contact | KEVIN MICHAEL DUGAN Dentist 501-758-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2403) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |