| NPI | 1447340450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LOUISE MALAND Office Manager 479-751-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2389) |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |