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Organization
HD DENTAL, PA DBA SMILE DENTAL
Active
Organization
HD DENTAL, PA DBA SMILE DENTAL
Active
Other names
Smile Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL TODD HIGGINBOTHAM DDS (OWNER)
(844) 463-5677
Entity
Organization
Contact information
Practice address
14810 CANTRELL RD, LITTLE ROCK, AR 72223-4244
(844) 463-5677
Mailing address
14810 CANTRELL RD, LITTLE ROCK, AR 72223-4244
(844) 463-5677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3393
AR
Other
Enumeration date
03/12/2015
Last updated
03/12/2015
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