NPI | 1548442809 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLEY JACKSON PLUMMER Dentist 870-864-0338 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3443) |
Enumeration Date | 2007-11-28 |
Last Update Date | 2009-10-07 |