| NPI | 1770796401 |
|---|---|
| Other Name | FAMILY DENTAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | RANDALL S HESTIR Owner 870-946-2013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MO 2266) |
| Enumeration Date | 2007-05-08 |
| Last Update Date | 2009-06-29 |