| NPI | 1841510302 |
|---|---|
| Other Name | ARKANSAS ORAL & MAXILLOFACIAL SURGEONS |
| Entity Type | Organization |
| Authorized Contact | DARON C PRAETZEL Owner 501-623-4485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 174400000X Specialist (Licence: AR 3759) |
| 204E00000X Oral & Maxillofacial Surgery | |
| Enumeration Date | 2010-06-08 |
| Last Update Date | 2022-04-08 |