NPI | 1700914173 |
---|---|
Former Legal Business Name | FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | SHARON R NANCE Office Administrator 479-524-9379 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3369) |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |