Organization
RIVER DENTAL VAN BUREN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BROWN (CREDENTIALING MANAGER)
(918) 998-0996
Entity
Organization
Contact information
Practice address
2025 FAYETTEVILLE RD STE B, VAN BUREN, AR 72956-6981
(918) 998-0996
Mailing address
400 RIVERWALK TER STE 250, JENKS, OK 74037-5619
(918) 998-0996
(918) 310-1056
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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