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Organization
BRUM LLC
Active
Organization
BRUM LLC
Active
Parent organization
BRUM LLC
Other names
Northwest Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
BRUM LLC
Authorized official
DR. ABBEY BRUMLEY DDS (OWNER)
(479) 839-2273
Entity
Organization
Contact information
Practice address
439 N CENTENNIAL AVE, WEST FORK, AR 72774-2708
(479) 839-2273
Mailing address
439 N CENTENNIAL AVE, WEST FORK, AR 72774-2708
(479) 839-2273
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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