| NPI | 1558485805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER JAY FRAZEE Owner President 501-623-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2508) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |