NPI | 1407172331 |
---|---|
Former Legal Business Name | DENTAL CARE ASSOCIATES |
Entity Type | Organization |
Authorized Contact | PAMELA RENEE HALBROOK Administrator 501-623-8333 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Additional Taxonomies | 122300000X Dentist (Licence: AR 2967) |
Enumeration Date | 2010-04-16 |
Last Update Date | 2013-10-28 |