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Organization
SOUTHERN DENTAL OF MUNFORD PLLC
Active
Organization
SOUTHERN DENTAL OF MUNFORD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE DDS (OWNER)
(870) 972-1200
Entity
Organization
Contact information
Practice address
1461 MUNFORD AVE, MUNFORD, TN 38058-6743
(901) 837-6868
Mailing address
PO BOX 17151, JONESBORO, AR 72403-6720
(870) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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