| NPI | 1780847251 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E. GARDNER President 870-886-2492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 2386) |
| Enumeration Date | 2008-07-05 |
| Last Update Date | 2008-07-05 |