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Organization

JOHN PARDO, DDS , PLLC

Active
Other names
Buchanan Street Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN PARDO DDS (OWNER DENTIST)
(214) 538-3545
Entity
Organization

Contact information

Practice address
401 E BUCHANAN ST, PRAIRIE GROVE, AR 72753-2907
(479) 846-1005
Mailing address
401 E BUCHANAN ST, PRAIRIE GROVE, AR 72753-2907
(214) 538-3545

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1609238807
NPI TYPE 1
AR
Enumeration date
03/15/2022
Last updated
03/21/2022
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