| NPI | 1730581588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN C. HILLER Orthodontist 501-781-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |