| NPI | 1487855417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER BOND SOUTHARD Dentist 870-932-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3469) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2014-04-17 |