NPI | 1730265067 |
---|---|
Doing Business As | HERITAGE DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | LINDSEY LEIGH DOLAN Dentist 501-623-7140 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist |
Enumeration Date | 2006-10-30 |
Last Update Date | 2020-08-22 |