Organization
HAVEN DENTAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA DAVID RUBISCH DMD (PRESIDENT)
(479) 866-1563
Entity
Organization
Contact information
Practice address
2102 FIRST NATIONAL DR, HARRISON, AR 72601-6234
(870) 741-2820
Mailing address
800 OAKLEY ST, PEA RIDGE, AR 72751-2036
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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