| NPI | 1922292531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAORN RAE FRANKS Rda/Office Manager 870-630-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: AR 3045) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |