NPI | 1962933887 |
---|---|
Doing Business As | HUNTINGTON FAMILY DENTAL |
Entity Type | Organization |
Authorized Contact | MARK DAKE Owner 501-781-2777 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2017-03-22 |
Last Update Date | 2017-03-22 |