| NPI | 1861601015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON C VAMMEN General Dentist 501-329-3312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR AR2420) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |