| NPI | 1437244589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB MATHIS President Dentist 870-425-6911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2029) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |