NPI | 1639276603 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN BARRY PASCOE Owner 501-327-6529 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3002) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2018-06-21 |