Organization
HAGE FOUNDATION INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CLEMMISA HARRIS DMD (OWNER)
(870) 897-9465
Entity
Organization
Contact information
Practice address
217 E CHERRY AVE, JONESBORO, AR 72401-3372
(870) 897-9465
Mailing address
1620 HILLSIDE DR, JONESBORO, AR 72401-5006
(870) 897-9465
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
06/15/2021
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