NPI | 1871610857 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY C HASTINGS Office Manager 501-221-1200 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: AR 2694) |
Enumeration Date | 2007-03-23 |
Last Update Date | 2008-07-11 |