NPI | 1508889478 |
---|---|
Doing Business As | NORTH LITTLE ROCK PEDIATRIC DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | MARK E WILSON Co Owner 501-771-2990 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2793) |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2817) |
1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2700) | |
Enumeration Date | 2006-07-25 |
Last Update Date | 2020-08-22 |