Organization
WH AR DENTAL PLLC
Active
Other names
Walmart Health
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HENRY (ENROLLMENT MANAGER)
(479) 258-2080
Entity
Organization
Contact information
Practice address
7209 N PROSPECT AVENUE, GLADSTONE, MO 64119
(479) 258-2080
Mailing address
702 SW 8TH ST # MS 0445, BENTONVILLE, AR 72716-6209
(479) 258-2080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/11/2023
Last updated
12/20/2023
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