| NPI | 1659727469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY THOMAS Lab President 501-362-3132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 292200000X Dental Laboratory (Licence: AR 123277-00) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |