Organization
CENTRAL ARKANSAS ORTHODONTICS
Active
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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