NPI | 1912250655 |
---|---|
Doing Business As | CENTRAL DENTAL - CONWAY, LLC |
Entity Type | Organization |
Authorized Contact | TODD C STEWART Owner 501-225-1577 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice |
Enumeration Date | 2012-10-18 |
Last Update Date | 2013-10-14 |