Organization
EFIRD & TEALE DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN HERRON (OFIICE MANAGER)
(501) 337-9559
Entity
Organization
Contact information
Practice address
927 SOUTH MAIN, MALVERN, AR 72104-4507
(501) 337-9559
(501) 337-7447
Mailing address
927 S MAIN ST, MALVERN, AR 72104-5220
(501) 337-9559
(501) 337-7447
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2077
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101436608
—
AR
Enumeration date
07/12/2013
Last updated
07/12/2013
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