NPI | 1437350766 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT FULMER President 501-268-1831 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2450) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |