| NPI | 1588800791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN L VARNELL Business Manager 870-793-7529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2286) |
| Enumeration Date | 2008-12-18 |
| Last Update Date | 2008-12-18 |