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 |