| NPI | 1508016163 |
|---|---|
| Doing Business As | TIPTON PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | BLAYNE H TIPTON President 501-520-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2017-11-22 |