Organization
VONDRAN ORTHODONTICS
Active
Organization
VONDRAN ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES A. VONDRAN JR. D.D.S.M.D.S. (DOCTOR)
(501) 224-3421
Entity
Organization
Contact information
Practice address
4220 N RODNEY PARHAM RD STE 310, LITTLE ROCK, AR 72212-2466
(501) 224-3421
(501) 224-1305
Mailing address
4220 N RODNEY PARHAM RD STE 310, LITTLE ROCK, AR 72212-2466
(501) 224-3421
(501) 224-1305
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1265517213
NPI TYPE 1
AR
Enumeration date
06/16/2009
Last updated
06/16/2009
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