| NPI | 1528253416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MARTIN TINNIN President 479-521-2814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AR 1998) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |