NPI | 1801237326 |
---|---|
Doing Business As | ARKANSAS DENTISTRY AND BRACES |
Entity Type | Organization |
Authorized Contact | BENJAMIN G BURRIS Owner 870-972-8294 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
1223P0221X Dentist, Pediatric Dentistry | |
1223G0001X Dentist, General Practice | |
Enumeration Date | 2013-07-12 |
Last Update Date | 2015-03-04 |