| NPI | 1396958880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STAN M UDOUJ Doctor Owner President 479-782-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2725) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2020-08-22 |