| NPI | 1972643179 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY JOSEPH UDOUJ Owner 479-782-3021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |