| NPI | 1386974921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GLENN BUSSELL Owner/Pres. 501-868-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 2839) |
| Enumeration Date | 2010-01-04 |
| Last Update Date | 2010-01-04 |