| NPI | 1649446162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCH L MITCHELL Owner 501-336-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 3079) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: AR n8414) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |