NPI | 1861667131 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM AUSTIN SPADES Owner/Dentist 870-910-0000 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3299) |
Enumeration Date | 2008-04-28 |
Last Update Date | 2008-04-28 |