| NPI | 1982821591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD DAVID HUBBARD President 870-448-3191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: AR 2121) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |