NPI | 1861937518 |
---|---|
Doing Business As | LEAP KIDS DENTAL- JONESBORO |
Entity Type | Organization |
Authorized Contact | MARK DAKE Owner 501-781-2777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2017-01-04 |
Last Update Date | 2017-01-04 |