| NPI | 1548288244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE M. FREEMAN Office Manager 479-484-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 2226) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2009-04-27 |