| NPI | 1407211766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN K. HUNT Office Manager 501-664-5615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3630) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |