Organization
BRIEN S DOUGLAS DDS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIEN S DOUGLAS DDS (PRESIDENT)
(501) 623-9882
Entity
Organization
Contact information
Practice address
2212 MALVERN AVE, SUITE 10, HOT SPRINGS, AR 71901-8038
(501) 623-9882
(501) 623-8424
Mailing address
2212 MALVERN AVE, SUITE 10, HOT SPRINGS, AR 71901-8038
(501) 623-9882
(501) 623-8424
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3372
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145104608
—
AR
Enumeration date
10/21/2008
Last updated
10/21/2008
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