| NPI | 1508488255 |
|---|---|
| Doing Business As | SKINNER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | LORIE DENISE DAVIS Office Manager 501-992-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |