| NPI | 1760049753 |
|---|---|
| Doing Business As | CENTERSTONE DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | SARA BURROW Insurance Admin 501-940-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2019-05-24 |
| Last Update Date | 2019-05-24 |