| NPI | 1710442728 |
|---|---|
| Doing Business As | FAMILY DENTAL CARE OF FT. SMITH |
| Entity Type | Organization |
| Authorized Contact | BEAU E SPARKMAN Owner/Dentist 918-503-6262 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |