| NPI | 1487939542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BRADFORD CRUSE Dentist 501-224-6333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3834) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |