| NPI | 1558597310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES A REDMOND President 501-753-5594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 2264) |
| Enumeration Date | 2009-06-08 |
| Last Update Date | 2009-06-08 |