| NPI | 1720316359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W CHUNN Owner/Dentist 870-698-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3078) |
| Enumeration Date | 2009-11-19 |
| Last Update Date | 2009-11-19 |