| NPI | 1619125143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT EDWARD ADAIR Owner 479-273-3306 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3187) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: AR 3544) |
| Enumeration Date | 2008-09-09 |
| Last Update Date | 2010-07-07 |