| NPI | 1538400841 |
|---|---|
| Doing Business As | KANIS DENTAL |
| Entity Type | Organization |
| Authorized Contact | MATTHEW H BRIDWELL President/Dentist 501-269-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2013-03-12 |
| Last Update Date | 2013-03-12 |