NPI | 1760648174 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES BEVANS President 501-315-7800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 1833) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2008-08-05 |