| NPI | 1427287473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLEY HEDGECOCK THOMPSON Owner/Vice President 501-562-4123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2794) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |