NPI | 1700290194 |
---|---|
Doing Business As | ARKANSAS DENTISTRY AND BRACES |
Entity Type | Organization |
Authorized Contact | BENJAMIN G BURRIS Owner 479-445-6335 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
1223S0112X Dentist, Oral and Maxillofacial Surgery | |
1223G0001X Dentist, General Practice | |
Enumeration Date | 2014-06-13 |
Last Update Date | 2015-03-04 |