| NPI | 1609886068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HENRY BURCH Director 870-367-7241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2693) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2014-01-24 |