| NPI | 1831621309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW S KILLINGSWORTH Owner 479-886-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3817) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |