Ar Periodontal & Implant Assoc | |
1405 Mccoy Dr Harrison AR 72601-2417 | |
(479) 521-6400 | |
(479) 521-0164 |
Full Name | Ar Periodontal & Implant Assoc |
---|---|
Speciality | Dentist |
Location | 1405 Mccoy Dr, Harrison, Arkansas |
Authorized Official Name and Position | Cindy Kay Raben (OFFICE MANAGER) |
Authorized Official Contact | 4795216400 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Ar Periodontal & Implant Assoc 2001 N Green Acres Rd Fayetteville AR 72703-2619 Ph: (479) 521-6400 | Ar Periodontal & Implant Assoc 1405 Mccoy Dr Harrison AR 72601-2417 Ph: (479) 521-6400 |
NPI Number | 1346643699 |
---|---|
Provider Enumeration Date | 10/01/2014 |
Last Update Date | 10/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346643699 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | 3262 (Arkansas) | Primary |
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