NPI | 1942401666 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES V BEAVERS General Dentist 501-745-8811 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 3357) |
Enumeration Date | 2007-05-30 |
Last Update Date | 2009-01-21 |