| NPI | 1912291691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMS G BUFFINGTON Dentist 870-735-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 1734) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: AR 3141) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |