| NPI | 1518973353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES ALAN AINLEY President 870-239-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2613) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2020-08-22 |