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Organization
RIVER DENTAL SILOAM SPRINGS, PLLC
Active
Organization
RIVER DENTAL SILOAM SPRINGS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CREED CARDON (OWNER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
3105 HIGHWAY 412 E, SILOAM SPRINGS, AR 72761-8635
(479) 250-0949
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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