| NPI | 1649381971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY L. BRATTON President 479-641-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 817) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |