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 |