| NPI | 1639563406 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE ERIN SIEGFRIED Sole Mbr 501-628-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3838) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2015-03-19 |