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Individual

DR. LESLIE HALL DICKINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
1111 S BOWMAN RD STE B5, LITTLE ROCK, AR 72211-3766
(501) 223-2900
(501) 223-2999
Mailing address
1111 S BOWMAN RD STE B5, LITTLE ROCK, AR 72211-3766
(501) 223-2900
(501) 223-2999

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3358
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1385345
UNITED CONCORDIA
AR
01
5W938
BLUE CROSS BLUE SHIELD
AR
Enumeration date
10/24/2006
Last updated
07/08/2007
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