| NPI | 1487023834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE MICHEAL REMERSCHEID CEO 479-273-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2811) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-24 |