NPI | 1952999807 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA A WHARTON-PALMER Office Administrator 870-774-3278 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2021-01-06 |
Last Update Date | 2021-01-06 |