Organization
CANTRELL FAMILY DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD D MATONE DDS (OWNER/DENTIST)
(501) 205-1084
Entity
Organization
Contact information
Practice address
8116 CANTRELL RD STE C, LITTLE ROCK, AR 72227-2502
(501) 227-5100
Mailing address
PO BOX 241785, LITTLE ROCK, AR 72223-0014
(501) 205-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/22/2017
Last updated
02/15/2019
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