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Organization
SANDY GREENWAY
Active
Organization
SANDY GREENWAY
Active
Other names
Dalby Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
FELICIA EAKINS (OFFICE MANAGER)
(479) 717-7382
Entity
Organization
Contact information
Practice address
125 PRESIDENTIAL DR STE A, LOWELL, AR 72745-9608
(479) 717-7382
(479) 439-7713
Mailing address
125 PRESIDENTIAL DR STE A, LOWELL, AR 72745-9608
(479) 717-7382
(479) 439-7713
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588193353
NPI
AR
Enumeration date
08/23/2022
Last updated
08/23/2022
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