| 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 |