NPI | 1518079177 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN R BERRY President Dentist 870-633-4219 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2380) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |