NPI | 1679669535 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFF A POWELL President 501-834-4800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3268) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2012-07-03 |