| NPI | 1962939439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNY L QUICK Owner 501-329-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: AR 3342) |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |