| NPI | 1962827857 |
|---|---|
| Doing Business As | LIFETIME DENTAL |
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRENT GUBLER Owner 479-631-9393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3920) |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2017-04-24 |