| NPI | 1457502791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK JOHN BROWN President 479-273-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3253) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2008-10-06 |