NPI | 1578651691 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES D. BURLESON Dentist 501-843-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2045) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2020-08-22 |