NPI | 1609284900 |
---|---|
Entity Type | Organization |
Authorized Contact | HUNTER SMITH Dentist / Owner 870-935-0111 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3986) |
Enumeration Date | 2014-07-30 |
Last Update Date | 2021-04-27 |