| NPI | 1962805812 |
|---|---|
| Doing Business As | THE CENTER FOR ALLOPLASTIC FACIAL RECONSTRUCTION |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D KACZKOWSKI President 501-265-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 229N00000X Anaplastologist |
| Additional Taxonomies | 156FX1700X Technician/Technologist Ocularist |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: AR OPP00038) | |
| Enumeration Date | 2014-10-07 |
| Last Update Date | 2015-01-09 |