Organization
DR DAVE L OUELLETTE, DDS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVE L OUELLETTE DDS (OWNER)
(501) 955-0155
Entity
Organization
Contact information
Practice address
3401 SPRINGHILL DR, SUITE 285, NORTH LITTLE ROCK, AR 72117-2924
(501) 955-0155
(501) 955-0159
Mailing address
3401 SPRINGHILL DR, SUITE 285, NORTH LITTLE ROCK, AR 72117-2924
(501) 955-0155
(501) 955-0159
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2032
AR
Other
Enumeration date
01/12/2011
Last updated
01/12/2011
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