NPI | 1528608213 |
---|---|
Doing Business As | WESTPORT DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | MATTHEW WOODS Dentist 501-733-8800 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2020-01-09 |
Last Update Date | 2020-01-09 |