| NPI | 1679157853 |
|---|---|
| Doing Business As | HOMETOWN ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | MELISSA SPARKS Office Manager 501-268-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2021-07-15 |