NPI | 1720298334 |
---|---|
Entity Type | Organization |
Authorized Contact | HAROLD WAYNE NEAVILLE Pres 501-623-9882 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 1881) |
Enumeration Date | 2007-05-23 |
Last Update Date | 2020-08-22 |