| NPI | 1770096703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM REYNOLDS LITTLE Owner 870-243-4406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3930) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2017-11-13 |