Organization
BRACES OF THE OZARKS, LLC
Active
Other names
Tatum Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAKE (OWNER)
(501) 781-2777
Entity
Organization
Contact information
Practice address
825 N MAIN ST, SUITE 6, HARRISON, AR 72601-2914
(501) 781-2777
Mailing address
5100 TALLEY RD, SUITE 100, LITTLE ROCK, AR 72204-8032
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2681
AR
Other
Enumeration date
01/21/2015
Last updated
01/21/2015
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