NPI | 1619020948 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM E CURRY Operating Manager 479-484-0200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2162) |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 2074) |
1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 3173) | |
Enumeration Date | 2007-01-19 |
Last Update Date | 2020-08-22 |