| NPI | 1700023322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE ANTHONY LAWRENCE President 479-967-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 2733) |
| Enumeration Date | 2009-01-20 |
| Last Update Date | 2009-01-20 |