| NPI | 1457892341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB LAWRENCE SEITER General Dentist/ Owner 501-470-6468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 4036) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2017-03-13 |