| NPI | 1881053361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN HILLER Owner 501-781-2777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3321) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3763) |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2016-02-12 |