NPI | 1669588208 |
---|---|
Other Name | CARMELLA MONTEZ |
Entity Type | Organization |
Authorized Contact | CARMELLA KNOERNSCHILD Orthodontist/Officer 479-968-2138 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 2878) |
Enumeration Date | 2006-08-23 |
Last Update Date | 2020-08-22 |