| NPI | 1891744462 |
|---|---|
| Former Legal Business Name | MAXILLOFACIAL SURGERY CENTER |
| Doing Business As | ARKANSAS ORAL & FACIAL SURGERY CENTER PA |
| Entity Type | Organization |
| Authorized Contact | SCOTTY L BOLDING Owner 479-957-4611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2022-06-07 |