| NPI | 1952510356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRIN M. STORMS President 479-521-8887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 3447) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2020-08-22 |