| NPI | 1568663821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEN BERLEY President,Owner,Dentist 479-254-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2379) |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2013-02-26 |