Organization
AXPM JONESBORO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN HILLER (OWNER)
(501) 781-2777
Entity
Organization
Contact information
Practice address
2316 RED WOLF BLVD, SUITE C, JONESBORO, AR 72401-0000
(501) 781-2777
Mailing address
PO BOX 24470, LITTLE ROCK, AR 72221-4470
(501) 781-2777
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3763
AR
Other
Enumeration date
10/12/2015
Last updated
10/12/2015
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