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Organization
WH FL DENTAL PLLC
Active
Organization
WH FL DENTAL PLLC
Active
Other names
Walmart Health
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HENRY (ENROLLMENT MANAGER)
(479) 258-2080
Entity
Organization
Contact information
Practice address
12582 US HIGHWAY 19, HUDSON, FL 34667
(479) 258-2080
Mailing address
702 SW 8TH ST # MS 0445, BENTONVILLE, AR 72716-0445
(479) 258-2080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/13/2022
Last updated
12/13/2022
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