Organization
SMILES OF ARKANSAS DENTAL CENTER, PLLC
Active
Other names
Texarkana Division
Organization subpart
No
Provider details
NPI number
Authorized official
JODIE KOGER (DIRECTOR OF OPERATIONS)
(870) 777-6453
Entity
Organization
Contact information
Practice address
1621 ARKANSAS BLVD, TEXARKANA, AR 71854-1607
(870) 774-7645
(870) 773-7647
Mailing address
1621 ARKANSAS BLVD, TEXARKANA, AR 71854-1607
(870) 774-7645
(870) 773-7647
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3177
AR
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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