Organization
DALE E. COLCLASURE, D. D. S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE E. COLCLASURE (OWNER/D.D.S.)
(501) 758-3393
Entity
Organization
Contact information
Practice address
2501 CRESTWOOD RD, SUITE 103, NORTH LITTLE ROCK, AR 72116-6864
(501) 758-3393
(501) 759-4346
Mailing address
2501 CRESTWOOD RD, SUITE 103, NORTH LITTLE ROCK, AR 72116-6864
(501) 758-3393
(501) 759-4346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
07/10/2008
Last updated
07/10/2008
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