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Organization

HERITAGE MOBILE DENTAL CARE, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MORRIS GOLDSTEIN CPA (COO)
(901) 359-0043
Entity
Organization

Contact information

Practice address
204 N RHODES ST, WEST MEMPHIS, AR 72301-3944
(901) 359-0043
Mailing address
2005 GRIST MILL RD, LITTLE ROCK, AR 72227-3808
(901) 359-0043

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
211483631
AR
Enumeration date
10/31/2016
Last updated
10/31/2016
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