| NPI | 1538465992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE E BOWERS Orthodontist 870-741-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 2454) |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |