| NPI | 1699036137 |
|---|---|
| Doing Business As | COMMUNITY GENERAL AND IMPLANT DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MELISSA MEREDITH Executive Director Of Operations 501-231-9928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3565) |
| Enumeration Date | 2012-05-31 |
| Last Update Date | 2012-05-31 |