NPI | 1588127021 |
---|---|
Doing Business As | OZARK COMPREHENSIVE DENTISTRY |
Entity Type | Organization |
Authorized Contact | ETTIENNE REINHARDT VAN ZYL Owner/Member 479-372-4500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2019-04-11 |
Last Update Date | 2019-04-11 |