Organization
CENTRAL ARKANSAS ORTHODONTIC ASSOCIATES, LLC.
Active
Other names
Burris-Dake, LLC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN HILLER (ORTHODONTIST)
(501) 321-0560
Entity
Organization
Contact information
Practice address
3320 CENTRAL AVENUE, HOT SPRINGS, AR 71913
(501) 321-0560
(501) 321-0551
Mailing address
5100 TALLEY RD, STE 100, LITTLE ROCK, AR 72204-8032
(501) 321-0560
(501) 321-0551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178159631
—
AK
Enumeration date
08/18/2009
Last updated
02/19/2013
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