| NPI | 1477755338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. CARLISLE Owner 501-776-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR AR2501) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2020-08-22 |