| NPI | 1902159387 |
|---|---|
| Doing Business As | MY DENTIST |
| Entity Type | Organization |
| Authorized Contact | JOHNNY PEARCE Pc 479-419-9991 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: AR 3862) |
| Enumeration Date | 2012-10-22 |
| Last Update Date | 2012-10-22 |