| NPI | 1669610028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIYA I MANOVA President 501-773-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019027529) |
| Enumeration Date | 2009-01-22 |
| Last Update Date | 2009-01-22 |