NPI | 1508089533 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN A DEAL Dentist 501-679-4700 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3442) |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AR 3441) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2008-06-12 |