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 |