| NPI | 1841586948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MARK ANTHONY President/Owner 501-262-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: AR 2105) |
| Enumeration Date | 2011-06-27 |
| Last Update Date | 2011-06-27 |