| NPI | 1457717381 |
|---|---|
| Doing Business As | HIGGINBOTHAM FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | MISTI ROSS Insurance Director 870-336-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Additional Taxonomies | 122300000X Dentist (Licence: TN 10169) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2024-04-09 |