NPI | 1922217652 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID E. BELL Owner 870-793-6800 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AR 2202) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2020-08-22 |