| NPI | 1922269711 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. ANTHONY SMITH Owner 479-273-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: AR 927) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2020-09-28 |