| NPI | 1932300506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES B PHILLIPS CEO 870-931-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 2341) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |