Organization
MIDTOWN DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANITA L AEBERSOLD (OWNER)
(501) 664-1733
Entity
Organization
Contact information
Practice address
814 NORTH UNIVERSITY AVE, LITTLE ROCK, AR 72205
(501) 664-5555
(501) 664-1759
Mailing address
814 N. UNIVERSITY AVE., LITTLE ROCK, AR 72205
(501) 664-5555
(501) 664-1759
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
185631631
—
AR
Enumeration date
05/23/2012
Last updated
05/23/2012
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