Organization
MAXSURGE DENTAL SPECIALIST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT BOLDING DDS, MS (OWNER)
(479) 582-3000
Entity
Organization
Contact information
Practice address
520 N PINE ST, HARRISON, AR 72601-3442
(870) 741-3877
(870) 741-2406
Mailing address
520 N PINE ST, HARRISON, AR 72601-3442
(870) 741-3877
(870) 741-2406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/19/2014
Last updated
11/19/2014
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