Organization
WALNUT RANCH DENTAL SPA GPS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM REYNOLDS LITTLE DDS (CO-OWNER)
(870) 243-4406
Entity
Organization
Contact information
Practice address
1610 WALNUT DR, ARDMORE, OK 73401-2331
(580) 226-1244
Mailing address
100 E HUNTINGTON AVE STE E, JONESBORO, AR 72401-2900
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/25/2021
Last updated
03/25/2021
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