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Organization
WALNUT RANCH DENTAL SPA GPS, PLLC
Active
Organization
WALNUT RANCH DENTAL SPA GPS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE DDS (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
1610 WALNUT DR, ARDMORE, OK 73401-2331
(580) 226-1244
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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