| NPI | 1972038628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY FLAKOLL Treatment & Financial Coordinator 501-225-3964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AR 2838) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |