| NPI | 1720369093 |
|---|---|
| Doing Business As | FAITH DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | LILLIAM M PRADO Owner 501-565-3009 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3554) |
| Enumeration Date | 2011-08-31 |
| Last Update Date | 2011-08-31 |