Organization
CENTRAL ARKANSAS ORTHODONTICS
Active
Other names
Burris Dental Group PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN GRAY BURRIS DDS,MDS,PA (ORTHODONTIST)
(501) 321-0560
Entity
Organization
Contact information
Practice address
1702 MALVERN AVE, HOT SPRINGS, AR 71901-7132
(501) 321-0551
Mailing address
1702, MALVERN AVE, HOT SPRINGS, AR 71901
(501) 321-0551
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3465
AR
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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