| NPI | 1679632871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD A CAIN Owner 501-847-1022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2979) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: AR 2382) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |