NPI | 1972608651 |
---|---|
Doing Business As | PLAZA CARMONA DENTAL ASSOCIATES |
Entity Type | Organization |
Authorized Contact | KRISTI GIPE GOLDEN Dr/Owner 501-922-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2006-09-14 |
Last Update Date | 2010-04-12 |