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Organization
OZARK ORAL & MAXILLOFACIAL SURGERY, PA
Active
Organization
OZARK ORAL & MAXILLOFACIAL SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT H LEWIS JR. DDS (OWNER/SURGEON)
(479) 636-3979
Entity
Organization
Contact information
Practice address
591 HORSEBARN RD #100, ROGERS, AR 72758-8760
(479) 636-3979
(479) 636-0800
Mailing address
591 HORSEBARN RD #100, ROGERS, AR 72758-8760
(479) 636-3979
(479) 636-0800
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
NULL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/31/2006
Last updated
08/22/2013
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