NPI | 1780771907 |
---|---|
Doing Business As | THE DENTAL OFFICE |
Entity Type | Organization |
Authorized Contact | DWIGHT DEBUSK DUCKWORTH President 479-750-0333 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2903) |
Enumeration Date | 2006-10-08 |
Last Update Date | 2020-09-04 |