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Organization
FORREST G. BALE, DDS ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization
FORREST G. BALE, DDS ORAL AND MAXILLOFACIAL SURGERY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FORREST GARNETT BALE DDS (OWNER)
(479) 968-1334
Entity
Organization
Contact information
Practice address
319 S GLENWOOD AVE, RUSSELLVILLE, AR 72801-5906
(479) 968-1334
(479) 968-8912
Mailing address
319 S GLENWOOD AVE, RUSSELLVILLE, AR 72801-5906
(479) 968-1334
(479) 968-8912
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3799
AR
Other
Enumeration date
10/19/2012
Last updated
12/30/2020
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