| NPI | 1710122403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA C. BRYAN Doctor 479-271-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3286) |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |