| NPI | 1790155992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TED PINNEY Owner/President 501-982-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3474) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |