| NPI | 1790063923 |
|---|---|
| Doing Business As | ARKANSAS DENTISTRY AND BRACES |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN G. BURRIS Owner 479-445-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 1223G0001X Dentist, General Practice | |
| 1223P0221X Dentist, Pediatric Dentistry | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3465) | |
| Enumeration Date | 2011-07-21 |
| Last Update Date | 2015-04-14 |