Organization
BRACES OF THE OZARKS, LLC
Active
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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