NPI | 1679671051 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C. PARKEY Owner/Dentist 870-932-0330 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Additional Taxonomies | 1223G0001X Dentist General Practice |
Enumeration Date | 2006-09-20 |
Last Update Date | 2022-07-21 |