| NPI | 1821249087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY STAFFORD President 501-374-2929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3542) |
| Enumeration Date | 2008-10-07 |
| Last Update Date | 2008-10-07 |