| NPI | 1447712856 |
|---|---|
| Doing Business As | PERIODONTAL AND IMPLANT SOLUTIONS OF ARKANSAS |
| Entity Type | Organization |
| Authorized Contact | PATRICK EDWARD DRIVER Periodontist 479-631-6074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2019-04-03 |
| Last Update Date | 2019-04-03 |