| NPI | 1467639872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY M HENDERSON Dentist 501-835-0444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2209) |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2008-01-28 |