| NPI | 1558567552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE L YAHODA Business Assistant 501-624-2778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 650) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2020-08-22 |