| NPI | 1477302719 |
|---|---|
| Doing Business As | CANTRELL WEST DENTAL |
| Entity Type | Organization |
| Authorized Contact | REBECCA THOMPSON SIRIA Sole Member Dentist 501-664-3279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-05-17 |
| Last Update Date | 2024-05-17 |