NPI | 1982883690 |
---|---|
Doing Business As | LIFE STYLE DENTISTRY |
Entity Type | Organization |
Authorized Contact | ELIZABETH ANN HUBBS Owner/Dentist/President 479-636-8700 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: AR 3112) |
Enumeration Date | 2007-10-30 |
Last Update Date | 2016-03-09 |