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Organization

GENTLE DENTAL OF SILOAM SPRINGS PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELLE WOOD RN (OFFICE MANAGER)
(479) 524-6182
Entity
Organization

Contact information

Practice address
1675 W JEFFERSON, SUITE B, SILOAN SPRINGS, AR 72761
(479) 524-6182
(479) 549-3399
Mailing address
1675 W JEFFERSON SUITE B, PO BOX 582, SILOAN SPRINGS, AR 72761
(479) 524-6182
(479) 549-3399

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200254370A
OK
Enumeration date
06/25/2008
Last updated
10/19/2009
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