NPI | 1891123279 |
---|---|
Doing Business As | CHILDREN'S DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | JAMMIE A BURROWS Office Manager 870-739-2992 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 3647) |
Enumeration Date | 2013-10-23 |
Last Update Date | 2013-10-23 |