| NPI | 1619179181 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R LEE HINSON Owner, President 501-565-0949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 2552) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2016-12-29 |