| NPI | 1912529504 |
|---|---|
| Doing Business As | DOVER FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MATT DOVER Owner/ Dentist 870-530-0881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2020-05-18 |