| NPI | 1740423482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM TREVOR COFFEE Dentist 870-246-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3432) |
| Enumeration Date | 2009-04-10 |
| Last Update Date | 2009-04-10 |