Organization
BORENGASSER FAMILY DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES WESLEY BORENGASSER DDS (DENTIST)
(479) 242-3340
Entity
Organization
Contact information
Practice address
3510 S 79TH ST STE 100, FORT SMITH, AR 72903-6250
(479) 242-3340
Mailing address
9205 ROSEWOOD DR, FORT SMITH, AR 72903-7060
(479) 719-1373
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3525
AR
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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