Organization
CONWAY REGIONAL MEDICAL CENTER, INC
Active
Other names
Conway Regional Interfaith Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM PACK (CFO)
(501) 450-2112
Entity
Organization
Contact information
Practice address
830 N CREEK DR, CONWAY, AR 72032-4711
(501) 932-0559
(501) 205-1983
Mailing address
PO BOX 9662, CONWAY, AR 72033-9662
(501) 852-1363
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
11/09/2023
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