| NPI | 1629215629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL A PICKARD Orthodontics Director/Owner 479-238-1004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AR 2035) |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |