| NPI | 1508287251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREGORY KITCHENS President 479-968-1706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3895) |
| Enumeration Date | 2013-12-25 |
| Last Update Date | 2013-12-25 |