| NPI | 1639225279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA MEREDITH Chief Operating Officer 501-231-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3565) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2013-11-01 |