| NPI | 1972800969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELDON C THOMPSON Doctor 870-423-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: AR 3747ar) |
| Enumeration Date | 2011-02-28 |
| Last Update Date | 2011-02-28 |