| NPI | 1497902514 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STEPHEN HARRISON Owner 501-984-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3552) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2008-08-20 |