| NPI | 1619960440 |
|---|---|
| Doing Business As | CONWAY PEDIATRIC DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GERALD W FRIEND Owner 501-730-0375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3475) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2793) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 2817) | |
| Enumeration Date | 2005-08-26 |
| Last Update Date | 2020-08-22 |