| NPI | 1518085620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRYL W. WARREN Owner 501-745-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3528) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AR 2140) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2020-02-04 |