| NPI | 1407035892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ANDREW BAXTER General Dentist 479-636-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3225) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 3527) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-01 |