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Organization
RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC
Active
Organization
RIVER VALLEY ORAL & MAXILLOFACIAL SURGERY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GAYLE M. FREEMAN (OFFICE MANAGER)
(479) 484-1011
Entity
Organization
Contact information
Practice address
2407 S WALDRON RD, FORT SMITH, AR 72903-3736
(479) 484-1011
(479) 484-1205
Mailing address
2407 S WALDRON RD, FORT SMITH, AR 72903-3736
(479) 484-1011
(479) 484-1205
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2226
AR
Other
Enumeration date
07/18/2006
Last updated
04/27/2009
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