| NPI | 1407125719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LLOYD GORE Dentist/President 501-225-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 1022) |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |