Organization
CONWAY DENTAL CENTER PLLC
Active
Other names
Conway Dental Center PLLC
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD MATONE DDS (OWNER/DENTIST)
(501) 205-1084
Entity
Organization
Contact information
Practice address
1600 E. OAK STREET SUITE B, CONWAY, AR 72032
(501) 358-4489
Mailing address
PO BOX 241785, LITTLE ROCK, AR 72223-0014
(501) 205-1084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3574
AR
Other
Enumeration date
03/01/2018
Last updated
02/15/2019
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