| NPI | 1588775449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H LEWIS Owner/Surgeon 479-636-3979 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2013-08-22 |