NPI | 1588684070 |
---|---|
Entity Type | Organization |
Authorized Contact | GEORGE ALEXANDER President 870-435-6669 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2889) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2020-08-22 |