| NPI | 1730435967 |
|---|---|
| Doing Business As | CRISWELL DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | BYRL C CRISWELL President 479-474-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2012-07-25 |