| NPI | 1538453006 |
|---|---|
| Doing Business As | JONESBORO PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SUMMER BARKER TYSON Owner 870-336-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3680) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-08-09 |