| NPI | 1639539356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KYLE DIXON Owner/Dentist 479-524-6145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3883) |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |