Organization
LAKESIDE DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARHONDA APATA DDS (DENTIST)
(501) 499-0906
Entity
Organization
Contact information
Practice address
15775 HIGHWAY 16 E, SHIRLEY, AR 72153-8930
(501) 499-0906
Mailing address
15775 HIGHWAY 16 E, SHIRLEY, AR 72153-8930
(501) 499-0906
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4091
AR
Other
Enumeration date
07/07/2016
Last updated
07/07/2016
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