Organization · NPI-2

Alloplastic Restoration Foundation, INC.

Technician/Technologist, Ocularist · Little Rock, AR

NPI number1265920813
StatusActive
Last updated in NPPESApr 30, 2018

Details

NPI
1265920813
Entity type
Organization (NPI-2)
Legal business name
Alloplastic Restoration Foundation, INC.
Organization subpart
No
Enumeration date
Apr 30, 2018
Last updated
Apr 30, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1700X Technician/Technologist, Ocularist––Yes

Practice location

220 N Van Buren St
Little Rock, AR 72205-3650

Phone 501-454-4945

Mailing address

220 N Van Buren St
Little Rock, AR 72205-3650

Phone 501-454-4945

Authorized official

Louis Daniel Eaton
President
5014544945

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