| NPI | 1982883039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN S PIERCE Dentist 870-268-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health (Licence: AR 3398) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |