NPI | 1861087470 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL PHILLIPS Sr. Billing/Systems Manager 501-364-2526 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-03-05 |
Last Update Date | 2021-03-05 |