| NPI | 1598879264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID RAY KERNODLE President 870-741-6726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 1904) |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2020-08-22 |