| NPI | 1821249707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENT D BARTLETT Dentist 479-968-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 2298) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2008-10-09 |