NPI | 1497956783 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN DOUGLAS VESTER Dentist 870-425-9323 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2526) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2020-08-22 |