| NPI | 1962422204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT L SKINNER Owner/Denist 479-452-3368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2752) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |