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Organization

ARKANSAS ORTHODONTIC SPECIALIST INC

Active
Parent organization
ARKANSAS ORTHODONTIC SPECIALIST INC
Other names
Whitlock Orthodontics of Fort Smith
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARKANSAS ORTHODONTIC SPECIALIST INC
Authorized official
SCOTT L BOLDING DDS, MS (OWNER)
(479) 717-1047
Entity
Organization

Contact information

Practice address
8309 PHOENIX AVE, FORT SMITH, AR 72903-6141
(479) 717-1171
(479) 717-1047
Mailing address
PO BOX 1136, SEARCY, AR 72145-1136
(479) 717-1047
(479) 717-1047

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
3025
AR

Other

Enumeration date
06/24/2014
Last updated
10/03/2014
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