| NPI | 1831562545 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT DECOURSEY Owner/ Dentist 501-753-8700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 4023) |
| Enumeration Date | 2015-11-03 |
| Last Update Date | 2015-11-03 |