Organization
REBECCA CARLISLE D.D.S. L.L.C.
Active
Other names
Wedington Court Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA CARLISLE D.D.S. (DENTIST/OWNER)
(479) 527-0707
Entity
Organization
Contact information
Practice address
1188 N SALEM RD, STE 10, FAYETTEVILLE, AR 72704-8807
(479) 527-0707
Mailing address
1188 N SALEM RD, STE 10, FAYETTEVILLE, AR 72704-8807
(479) 527-0707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3827
AR
Other
Enumeration date
10/20/2015
Last updated
10/20/2015
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