| NPI | 1568603819 |
|---|---|
| Doing Business As | FOUNDERS PARK FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ROBERT STARK President 479-717-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3348) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |