| NPI | 1891980405 |
|---|---|
| Doing Business As | COMMUNITY CLINIC ROGERS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JAMES SEMINGSON CEO 479-751-7417 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2020-01-15 |