NPI | 1467875161 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY ELIZABETH MALCOLM Owner/Dentist 870-935-7337 |
Organization Subpart ? | No |
Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: AR 3232) |
Enumeration Date | 2014-01-31 |
Last Update Date | 2014-11-14 |